Individual provider Active NPI

Ramchandra Siram, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1710220314
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME138395 Issued in FL
Practice address
250 N Alafaya TRL Ste 100
Orlando, FL 32828
Phone
(407) 282-4400
Fax
(407) 282-4191
NPI assigned
Apr 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R2228 TX
Geriatric Medicine (Family Medicine) Physician 207QG0300X R2228 TX
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X ME138395 FL Primary

Addresses

Primary practice location

250 N Alafaya TRL Ste 100
Orlando, FL 32828

Mailing address

250 N Alafaya TRL Ste 100
Orlando, FL 32828-4316
Phone (407) 282-4400

Other practice location 1

3024 Highway 121
Bedford, TX 76021
Phone (817) 494-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190308002698 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 8527209873 Reassigns benefits to 1 organization
I20250705000086 GA Practitioner - Family Practice 8527209873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1100 Lake Hearn Dr
Sandy Springs, GA 30342-1523
Phone (404) 364-7285

5513 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4106
Phone (770) 551-9633

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME138395FLMDFamily Medicine Physician
R2228TXMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Apr 15, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 15, 2019 Accepting new patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Jun 24, 2025 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

250 N Alafaya Trl
Ste 100
Orlando, FL 32828
Phone (407) 282-4400

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1100 Lake Hearn Dr
Sandy Springs, GA 30342
Phone (404) 255-5512

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1710220314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ALAFAYA TRL STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284316",
            "telephone_number": "407-282-4400",
            "fax_number": "407-282-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ALAFAYA TRL STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32828",
            "telephone_number": "407-282-4400",
            "fax_number": "407-282-4191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 Highway 121",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "76021",
            "country_code": "US",
            "telephone_number": "817-494-5000",
            "fax_number": "817-494-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIRAM",
        "first_name": "RAMCHANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R2228",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "R2228",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME138395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.