Individual provider Active NPI

Ravi Shankar, MD

  • Radiation Oncology Physician
  • Melbourne, FL
National Provider Identifier
1861407421
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME#90812 Issued in FL
Practice address
1430 Pine St
Melbourne, FL 32901-3119
Phone
(321) 952-0898
Fax
(321) 722-1342
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME#90812 FL Primary

Addresses

Primary practice location

1430 Pine St
Melbourne, FL 32901-3119

Mailing address

PO Box 534595
Atlanta, GA 30353-4595
Phone (321) 952-0898

Other identifiers 3

IdentifierTypeStateIssuer
269743200MedicaidFL
42918OtherFLBLUE CROSS BLUE SHIELD
P00468588OtherFLRR MEDICARE

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
I20040618001106 FL Practitioner - Radiation Oncology 6507841194 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME#90812FLMDRadiation Oncology Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Cancer Care Centers of Brevard Inc Radiation Oncology CurrentSince Jul 31, 2023 Accepting new patients
Cancer Care Centers of Brevard Inc CurrentSince Jun 1, 2007 Accepting new patients
Osler Medical Inc Past Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Locations

1430 Pine St
Melbourne, FL 32901
Phone (321) 952-0898

240 N Wickham Rd
Ste 101
Melbourne, FL 32935
Phone (321) 752-4811

2290 W Eau Gallie Blvd
Ste 202
Melbourne, FL 32935
Phone (321) 254-4776

215 Cone Rd
Merritt Island, FL 32952
Phone (561) 589-1995

10 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 752-4811

20 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 725-8300

1048 Harvin Way
Rockledge, FL 32955
Phone (321) 636-2111

1038 Harvin Way
Ste 120
Rockledge, FL 32955
Phone (321) 636-2111

13050 US Highway 1
Sebastian, FL 32958
Phone (561) 589-1995

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rshankar71732@epicdirect.hf.org

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care Centers of Brevard Inc 17 clinicians

Practice addresses (Care Compare)

1430 S Pine St
Melbourne, FL 32901-3119
Phone (321) 952-0898

Hospital & facility affiliations

  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Merit-based Incentive Payment System (MIPS)

Final score
99.57 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1861407421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534595",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303534595",
            "telephone_number": "321-952-0898",
            "fax_number": "321-722-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 PINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013119",
            "telephone_number": "321-952-0898",
            "fax_number": "321-722-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKAR",
        "first_name": "RAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME#90812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269743200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42918",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00468588",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.