Individual provider Active NPI

Neelima Ravi, M.D.

  • Internal Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1992051973
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
TRN18082 Issued in FL
Practice address
1491 Governors Square Blvd
Tallahassee, FL 32301-3049
Phone
(850) 523-7210
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN18082 FL Primary

Addresses

Primary practice location

1491 Governors Square Blvd
Tallahassee, FL 32301-3049

Mailing address

PO Box 15349
Tallahassee, FL 32317-5349
Phone (850) 523-7210

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neelima.ravi.p1@direct.capitalhealthplan.nextgenshare.com

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
I20151119002019 FL Practitioner - Internal Medicine 2567684483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Capital Health Plan, Inc,Group PAC ID 6406744077, 42 clinicians

Practice addresses (Care Compare)

1491 Governors Square Blvd
Tallahassee, FL 32301-3049
Phone (850) 383-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN18082FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Plan, Inc, CurrentSince Oct 12, 2015 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1491 Governors Square Blvd
Tallahassee, FL 32301
Phone (850) 383-3300

2140 Centerville Rd
Tallahassee, FL 32308
Phone (850) 383-3300

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.

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1992051973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15349",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323175349",
            "telephone_number": "850-523-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 GOVERNORS SQUARE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013049",
            "telephone_number": "850-523-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVI",
        "first_name": "NEELIMA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN18082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neelima.ravi.p1@direct.capitalhealthplan.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1491 GOVERNORS SQUARE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323013049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.