NPIMap

Individual provider Active NPI

Raviender Bukkapatnam, M.D.

  • Urology Physician
  • Tampa, FL
National Provider Identifier
1861455768
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME90062 Issued in FL
Practice address
1 Davis Blvd
#604
Tampa, FL 33606-3463
Phone
(813) 258-9565
Fax
(813) 258-3535
NPI assigned
Apr 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME90062 FL Primary

Addresses

Primary practice location

1 Davis Blvd
#604
Tampa, FL 33606-3463

Mailing address

1 Davis Blvd
#604
Tampa, FL 33606-3463
Phone (813) 258-9565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000896 FL Practitioner - Urology 8123098522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Urology Partners LLPGroup PAC ID 2062574924, 66 clinicians

Practice addresses (Care Compare)

1 Davis Blvd
Suite 604
Tampa, FL 33606-3480
Phone (813) 258-9565

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90062FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Urology Partners, LLP Urology CurrentSince Dec 1, 2008 Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Dec 8, 2020 Accepting new patients
Tampa General Provider Network Inc Urology PastSince Jun 1, 2022 Accepting new patients
Florida Health Sciences Center Inc PastSince Oct 1, 2016 Accepting new patients
Naked Tree LLC PastSince Feb 6, 2022 Accepting new patients
Florida Urology Partners LLP PastSince Nov 17, 2019 Accepting new patients

Locations

3140 S Falkenburg Rd
Ste 203
Riverview, FL 33578
Phone (813) 850-0026

5015 W Nassau St
Tampa, FL 33607
Phone (813) 356-0196

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

5523 W Cypress St
Ste 202
Tampa, FL 33607
Phone (813) 356-0196

1 Davis Blvd
Ste 604
Tampa, FL 33606
Phone (813) 258-9565

1202 S Church Ave
Ste A
Tampa, FL 33629
Phone (813) 258-9565

12408 N 56th St
Ste 1
Temple Terrace, FL 33617
Phone (813) 980-3104

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rbukkapatnam7796@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Florida Health Sciences Center IncTampa, FL, CCN 100128 Hospital Corporate Officer Oct 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861455768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DAVIS BLVD",
            "address_2": "#604",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063463",
            "telephone_number": "813-258-9565",
            "fax_number": "813-258-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAVIS BLVD",
            "address_2": "#604",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063463",
            "telephone_number": "813-258-9565",
            "fax_number": "813-258-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKKAPATNAM",
        "first_name": "RAVIENDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME90062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.