NPIMap

Individual provider Active NPI

Nagamanikkam Ravichandran, MD, MBA, FACP

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1871585521
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME74104 Issued in FL
Practice address
3 Shircliff Way
Suite 525
Jacksonville, FL 32204-4757
Phone
(904) 389-3770
Fax
(904) 389-3703
NPI assigned
Aug 18, 2005
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME74104 FL Primary
Hospitalist Physician 208M00000X ME74104 FL

Addresses

Primary practice location

3 Shircliff Way
Suite 525
Jacksonville, FL 32204-4757

Mailing address

3 Shircliff Way
Suite 525
Jacksonville, FL 32204-4757
Phone (904) 389-3770

Other practice location 1

2332 Riverside Ave
Jacksonville, FL 32204-4610
Phone (904) 450-8720

Other identifiers 1

IdentifierTypeStateIssuer
252904100MedicaidFL

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
I20050323001047 FL Practitioner - Internal Medicine 6305892274 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1670 St Vincents Way
Middleburg, FL 32068-8447
Phone (512) 730-3056

3 Shircliff Way
Dillion Building Suite 601
Jacksonville, FL 32204-4776
Phone (904) 296-5870

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME74104FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince May 16, 2017 Accepting new patients
Hni Hospital Services of Florida, LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince May 18, 2017 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Dec 16, 2016 Accepting new patients
St Vincents Ambulatory Care Inc Internal Medicine CurrentSince Mar 4, 2020 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Dec 16, 2016 Accepting new patients
Cardiology Interpreters Inc CurrentSince Apr 16, 2013 Accepting new patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Mar 4, 2020 Accepting new patients
Ecg Associates of Jacksonville P a CurrentSince Feb 28, 2005 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince May 18, 2017 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince May 16, 2017 Accepting new patients
Baptist Primary Care Inc Internal Medicine Past Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1800 Barrs St
Jacksonville, FL 32204
Phone (904) 387-4030

1824 King St
Ste 300
Jacksonville, FL 32204
Phone (904) 381-9393

3 Shircliff Way
Ste 601
Jacksonville, FL 32204
Phone (904) 923-7627

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

755 S 5th St
Macclenny, FL 32063
Phone (904) 259-4873

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-1219

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

3100 E Fletcher Ave
#C
Tampa, FL 33613

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

Interoperability endpoints

  • Direct secure messaging: nagamanikkam.ravichandran.1@8967.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 12

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1871585521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY",
            "address_2": "SUITE 525",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044757",
            "telephone_number": "904-389-3770",
            "fax_number": "904-389-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY",
            "address_2": "SUITE 525",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044757",
            "telephone_number": "904-389-3770",
            "fax_number": "904-389-3703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2332 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044610",
            "country_code": "US",
            "telephone_number": "904-450-8720",
            "fax_number": "904-450-8729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVICHANDRAN",
        "first_name": "NAGAMANIKKAM",
        "name_prefix": "Dr.",
        "credential": "MD, MBA, FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74104",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME74104",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252904100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.