Active NPI
Ravindra R Jahagirdar, MD
- Urology Physician
- Lake Mary, FL
National Provider Identifier
1902896194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME044265
- Practice address
- 101 N 8TH St
Lake Mary, FL 32746-3101 - Phone
- (407) 330-1100
- Fax
- (407) 321-8820
- NPI assigned
- Oct 27, 2005
- Last updated
- Apr 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME044265 | FL | Primary |
Addresses
Primary practice location
101 N 8TH St
Lake Mary, FL 32746-3101
Mailing address
101 N 8TH St
Lake Mary, FL 32746-3101
Phone (407) 330-1100
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060119000849 | FL | Practitioner - Urology | 9739103565 |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 N 8TH St
Suite 1001
Lake Mary, FL 32746-3101
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1902896194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N 8TH ST",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463101",
"telephone_number": "407-330-1100",
"fax_number": "407-321-8820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N 8TH ST",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463101",
"telephone_number": "407-330-1100",
"fax_number": "407-321-8820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAHAGIRDAR",
"first_name": "RAVINDRA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME044265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.