Rajani K Ravindra, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME40806 Issued in FL

Practice address

1740 W US Hwy 90
Ste 102
Lake City, FL 32055

Phone

(386) 755-3000

Fax

(386) 719-4297

NPI assigned

Jun 21, 2006

Last updated

Dec 4, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Psychiatry

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Rajani Ravindra MD

  • Psychiatry Physician
  • Lake City, FL
  • NPI 1407391931
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1952347767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W US HWY 90",
            "address_2": "STE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32055",
            "telephone_number": "386-755-3000",
            "fax_number": "386-719-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W US HWY 90",
            "address_2": "STE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32055",
            "telephone_number": "386-755-3000",
            "fax_number": "386-719-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINDRA",
        "first_name": "RAJANI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME40806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "088689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARMED",
            "identifier": "237718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010023058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britany Ratliff
• Julie Marie Rattley, CMSW
• Raul B Zelaya MD PA
• Shannon R Raulerson
• Ankem Ravindra, MD
• Danae Elise Ray
• Melissa C Raymont, RCS
• RDM Professional Services, Inc.
• Dominique L Reed
• Jerry William Register, D.C.

• Psychiatry Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.

Verify at the official NPI Registry.