Individual provider Active NPI

Madhavi Reddy Ravi, M.D

  • Gastroenterology Physician
  • Summerfield, FL
National Provider Identifier
1861818510
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
144008 Issued in FL
Practice address
17345 SE 109TH Terrace Rd
Summerfield, FL 34491-8930
Phone
(352) 751-4885
Fax
(352) 732-2440
NPI assigned
Mar 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 144008 FL Primary

Addresses

Primary practice location

17345 SE 109TH Terrace Rd
Summerfield, FL 34491-8930

Mailing address

1901 SE 18TH Ave Ste 400
Ocala, FL 34471-8213
Phone (352) 732-8905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gastroocala@directaddress.net Direct Endoscopy Center of Ocala Inc

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
I20201112001849 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 1052683885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endoscopy Center of Ocala IncGroup PAC ID 2466448709, 19 clinicians

Practice addresses (Care Compare)

1150 SE 18TH Place
Ocala, FL 34471-5422
Phone (352) 732-8905

17345 SE 109TH Terrace Rd
Summerfield, FL 34491-8930
Phone (352) 751-4885

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy137
Upper gastrointestinal (GI) endoscopy for acid reflux252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144008FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Ocala Inc Gastroenterology CurrentSince Dec 1, 2020 Accepting new patients

Locations

1150 SE 18th Pl
Ocala, FL 34471
Phone (352) 732-8905

1901 SE 18th Ave
Ste 400
Ocala, FL 34471
Phone (352) 620-0070

17345 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 751-4885

1400 N US Highway 441
Ste 531
The Villages, FL 32159
Phone (352) 504-3500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mravi562732@direct.shands.ufl.edu

Organizations & group practices 1

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": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1861818510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SE 18TH AVE STE 400",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718213",
            "telephone_number": "352-732-8905",
            "fax_number": "342-732-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17345 SE 109TH TERRACE RD",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918930",
            "telephone_number": "352-751-4885",
            "fax_number": "352-732-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVI",
        "first_name": "MADHAVI",
        "middle_name": "REDDY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "144008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gastroocala@directaddress.net",
            "affiliation": "Y",
            "endpointDescription": "1901 SE 18th Ave",
            "affiliationName": "Endoscopy Center of Ocala Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 N US Highway 441 Ste 531",
            "city": "The Villages",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321598985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.