Individual ProviderMurthy RavipatiFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1459 W Busch Blvd, Tampa, FL 33612-7601(813) 932-5150PECOS EnrollmentBased on the most recent information from CMS, provider Murthy Ravipati is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1295883841Provider TypeIndividualFull NameRavipati, MurthyTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date1/8/2007Last Updated3/12/2016Contact InformationPractice LocationPractice Address1459 W Busch Blvd, Tampa, FL 33612-7601Phone(813) 932-5150Fax(813) 931-3542Mailing LocationMailing Address1459 W Busch Blvd, Tampa, FL 33612-7601Phone(813) 932-5150Fax(813) 931-3542Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME54579FloridaCode174400000XDescriptionSpecialistOther Service ProvidersLicenseME 54579Florida