Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nivali Ravi, MD

Individual provider Family Medicine Physician · NPI 1114369055

Dr. Nivali Ravi, MD is a Family Practice in St Augustine, Florida. Qualified in 2007, 19 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

665 State Road 207 Ste 102
St Augustine, FL 32084-5938
Phone: (904) 824-8158
Fax: (904) 823-1284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME120790 (FL)

Record details

NPI number1114369055
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2013
Last updated in NPPESJune 30, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesGENERAL PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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