Individual provider Active NPI

Jayant Ranawat, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1750494159
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME96705 Issued in FL
Practice address
609 Virginia Dr
Orlando, FL 32803-1844
Phone
(727) 824-0780
Fax
(727) 828-8739
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME96705 FL Primary

Addresses

Primary practice location

609 Virginia Dr
Orlando, FL 32803-1844

Mailing address

5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327
Phone (727) 824-0780

Other identifiers 1

IdentifierTypeStateIssuer
275397900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070510000399 FL Practitioner - Internal Medicine 0749386571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

109 Timberlachen Cir
Lake Mary, FL 32746-3395
Phone (407) 333-9877

700 W Oak St
Osceola Regional Medical Center
Kissimmee, FL 34741-4996
Phone (407) 846-2266

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96705FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince Jan 1, 2014 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Jun 23, 2025 Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Ernesto Zavaleta, MD, PA Internal Medicine Past Accepting new patients
Ez Access Docs, PA Internal Medicine PastSince Jul 1, 2013 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

109 Timberlachen Cir
Lake Mary, FL 32746
Phone (407) 333-9877

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

609 Virginia Dr
Orlando, FL 32803
Phone (407) 841-7730

1718 Lexington Green Ln
Sanford, FL 32771
Phone (407) 268-9661

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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 4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1750494159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 SUNFOREST DR STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346327",
            "telephone_number": "727-824-0780",
            "fax_number": "727-828-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 VIRGINIA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031844",
            "telephone_number": "727-824-0780",
            "fax_number": "727-828-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANAWAT",
        "first_name": "JAYANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275397900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.