Individual provider Active NPI

Ravindran Balambal Palaniyandi, M.D.

  • Cardiovascular Disease Physician
  • Port St John, FL
National Provider Identifier
1942225883
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0055762 Issued in FL
Practice address
7139 North Highway US # 1
Port St John, FL 32927-5094
Phone
(321) 635-8304
Fax
(321) 635-8252
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0055762 FL Primary

Addresses

Primary practice location

7139 North Highway US # 1
Port St John, FL 32927-5094

Mailing address

6513 Ridge CT
Titusville, FL 32780-7404
Phone (321) 269-4464

Other identifiers 2

IdentifierTypeStateIssuer
060024950OtherFLRAILROAD MEDICARE
061629000MedicaidFL

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
I20050401000065 FL Practitioner - Cardiovascular Disease (Cardiology) 8325095433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Space Coast Cardiology ConsultantsGroup PAC ID 9537116645, 5 clinicians

Practice addresses (Care Compare)

3712 Whimsical Cir
Rockledge, FL 32955-4576
Phone (321) 537-6506

7139 N US Hwy 1
Port St John, FL 32927-5094
Phone (321) 635-8304

Hospital & facility affiliations

  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0055762FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cocoa Cardiology Consultant, LLC Cardiovascular Disease CurrentSince Apr 29, 2025 Accepting new patients
Space Coast Cardiology Consultants Cardiovascular Disease CurrentSince Jun 1, 1992 Accepting new patients

Locations

7139 N US Highway 1
Port St John, FL 32927
Phone (321) 635-8304

1027 Florida Ave S
Rockledge, FL 32955
Phone (321) 336-5003

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rpalaniyandi@sccc-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1942225883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 RIDGE CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807404",
            "telephone_number": "321-269-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7139 NORTH HIGHWAY US # 1",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329275094",
            "telephone_number": "321-635-8304",
            "fax_number": "321-635-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANIYANDI",
        "first_name": "RAVINDRAN",
        "middle_name": "BALAMBAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0055762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060024950",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061629000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St John, FL

Sources for this page

Verify at the official NPI Registry.