Muttathil P Ravindranathan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0027078 Issued in FL

Practice address

14540 Cortez Blvd
Suite 119
Brooksville, FL 34613-6056

Phone

(352) 597-3353

Fax

(352) 597-3368

NPI assigned

Feb 22, 2006

Last updated

Oct 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Muttathil P Ravindra Nathan MD PA

  dba Hernando Heart Clinic

  • Cardiovascular Disease Physician
  • Brooksville, FL
  • NPI 1881627875
  NPD Authorized official
• Cardiology Specialists of Florida PLLC

  dba Hernando Heart Clinic

  • Interventional Cardiology Physician
  • Brooksville, FL
  • NPI 1992014708
  NPD (past)
• J T Erwin MD PA

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1225070832
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1700851813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 CORTEZ BLVD",
            "address_2": "SUITE 119",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136056",
            "telephone_number": "352-597-3353",
            "fax_number": "352-597-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 CORTEZ BLVD",
            "address_2": "SUITE 119",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136056",
            "telephone_number": "352-597-3353",
            "fax_number": "352-597-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINDRANATHAN",
        "first_name": "MUTTATHIL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0027078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065827800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravishankar L Rao, MD
• Angenette Purcell Rashad, M.D.
• Rida Rasool, DO
• Dhruv Ratra, DO
• Susheela Ravindra Nathan, MD
• Ravishankar L Rao M D PA
• Keval Ray, DO
• Kimbrelee Kaye Ray, PMHNP-BC
• Mohammad Hassan Razzaq, DO
• Anthony David Record, LDO

• Specialist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.