MADHAVI REDDY RAVI M.D
NPI 1861818510
Internal Medicine - Gastroenterology in Summerfield, FL

Active since March 05, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
17345 SE 109TH TERRACE RD, SUMMERFIELD, FL 34491(352) 751-4885(352) 732-2440 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2022, Nov 30, 2021, Apr 12, 2021 and 1 more (4 updates tracked since 2020).

About Madhavi Reddy Ravi M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADHAVI REDDY RAVI M.D (NPI 1861818510) is an individual gastroenterology provider in Summerfield, Florida, licensed in Florida (144008) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Villages Regional Hospital, The, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1861818510
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameMADHAVI REDDY RAVICredential: M.D
Location Address17345 SE 109TH TERRACE RDSummerfield, FL 34491-8930
Mailing Address1901 Se 18th Ave Ste 400Ocala, FL 34471-8213 · (352) 732-8905 · Fax (342) 732-2440
Fax(352) 732-2440
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 5, 2014
Last NPPES UpdateJuly 7, 20224 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1861818510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · 144008
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
17345 SE 109TH TERRACE RD, Summerfield, FL 34491

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Madhavi Reddy Ravi M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052683885
PECOS Enrollment IDI20201112001849
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
525 services372 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
233 services82 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
225 services222 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
203 services180 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
202 services202 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
195 services193 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Villages Regional Hospital, The

Acute Care Hospitals · The Villages, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100290
Location1451 El Camino RealThe Villages, FL 32159 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34491 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims316 services$2.57 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,563 services$0.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
17345 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491
Internal Medicine (Gastroenterology)
17345 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491
Internal Medicine (Gastroenterology)
17345 SE 109TH TERRACE RD
SUMMERFIELD, FL 34491

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madhavi Ravi's NPI number?

The NPI number for Madhavi Ravi is 1861818510. It was assigned to this individual provider in the NPPES registry on March 5, 2014.

Where is Madhavi Ravi located?

Madhavi Ravi practices at 17345 SE 109th Terrace Rd, Summerfield, FL 34491. The listed phone number is (352) 751-4885.

What is Madhavi Ravi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Madhavi Ravi enrolled in Medicare?

Yes. Madhavi Ravi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Madhavi Ravi accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Madhavi Ravi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Madhavi Ravi affiliated with any hospitals?

According to CMS data, Madhavi Ravi is affiliated with Villages Regional Hospital, The.

When was this NPI record last updated?

The NPPES record for Madhavi Ravi was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.