DR. NIVALI RAVI M.D NPI 1114369055

NPI Information

  • NPI: 1114369055
  • Provider Name: DR. NIVALI RAVI, M.D
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 665 STATE ROAD 207
    SUITE 102
    ST AUGUSTINE, FL
    ZIP 32084
  • Phone: (904) 824-8158

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NPI Details

DR. Nivali Ravi, M.D is a family medicine in St Augustine, FL with 19 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Nivali Ravi, M.D NPI is 1114369055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

665 STATE ROAD 207
SUITE 102
ST AUGUSTINE, FL
ZIP 32084-938
Phone: (904) 824-8158
Fax: (904) 823-1284

The NPI 1114369055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Hospital observation care on day of discharge (HCPCS:99217)

The enumeration date for this NPI number is 7/19/2013 and was last updated on 6/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME120790FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1013614500MEDICAIDFLORIDA
2HZ225ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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