DR. SHRAVAN AMBATI (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1104985290

Clinical Cardiac Electrophysiology Physician

DR. SHRAVAN AMBATI (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME105350 (FL). The NPI Number for DR. SHRAVAN AMBATI (M.D.) is 1104985290

Main info

Male

25 Years Of Experience

Accepts Medicare Assignment

Name

DR. SHRAVAN AMBATI (M.D.)

NPI

1104985290

Phone

(407) 482-7788

Address

11616 LAKE UNDERHILL RD STE 215

Enumeration Date

6 December 2006

Last Update Date

28 March 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8507802141

Graduation Year

2001 (25 years ago)

PAC ID

2961416888

Group Practice PAC ID

2466555339

Professional Enrollment ID

I20100617000300

Address ID

FL324054582PA2202XAVEX302

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

298 CARDIAC ELECTROPHYSIOLOGY in FL

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Provider Addresses for DR. SHRAVAN AMBATI (M.D.)

Lake Underhill Road, Orlando, Orange County, Florida, 32807, United States
ORLANDO, FL 328254465
Phone: (407) 482-7788
Fax: (407) 482-8698
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 261 Open Payments records for all available years, with a total value of $62,316.

Total Amount is formed as General ($62,316) + Research ($0) + Ownership ($0) = $62,316.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AngioDynamics, Inc. ($18,745).

Total Amount

$62,316

General + Research + Ownership

Payments

261

Total payment records

General Amount

$62,316

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
AngioDynamics, Inc.	$18,745
Boehringer Ingelheim Pharmaceuticals, Inc.	$17,737
Abbott Laboratories	$8,072
BIOTRONIK INC.	$4,990
Lilly USA, LLC	$4,620

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20100617000300	I	Cardiac Electrophysiology	FL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99214	Established patient office or other outpatient visit, 30-39 minutes	531	236	$0
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	495	248	$0
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	472	182	$0
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	449	149	$0
J2785	Injection, regadenoson, 0.1 mg	300	75	$0

View full utilization report →

Insurance plans in this area (ZIP 32825)

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Provider's Procedures

DR. SHRAVAN AMBATI (M.D.) performs procedures in CARDIAC ELECTROPHYSIOLOGY. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
CARDIAC ELECTROPHYSIOLOGY	FL	93010	Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report	205	175
CARDIAC ELECTROPHYSIOLOGY	FL	93922	Ultrasound study of arteries of both arms and legs	34	34

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2466555339View full group profile

Name	Specialty	State
LAURIE K BOEHM (PA)	-	FL
KEVIN EDWARD ROHAN (PA-C)	Physician Assistant	FL
GINA MARIE HALL (APRN)	Nurse Practitioner	FL
DR. DON ALLEN DAVIS (MD)	Internal Medicine	FL
RICHARD OSWALD FOLLWELL (D.O.)	General Surgery	FL
FARHAT MEHMOOD (MD)	Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)	TX
SUMALEE ZABOREK RYAN	Nurse Practitioner	FL
MARSHA LYNN SUMNER (APRN)	Nurse Practitioner	FL
SARA EHAB MOHAMED (DNP-FNP)	Nurse Practitioner	FL
DR. KIRAN R MODI (M.D.)	Cardiovascular Disease (Cardiology)	FL

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Frequently asked questions

What is the standard ID for DR. SHRAVAN AMBATI (M.D.) in the U.S.?

In the U.S., DR. SHRAVAN AMBATI (M.D.) is identified by NPI 1104985290.

Is DR. SHRAVAN AMBATI (M.D.) currently accepting referrals based on NPI status?

Registry metadata lists DR. SHRAVAN AMBATI (M.D.) as active.

What does the directory say DR. SHRAVAN AMBATI (M.D.) does?

Insurance directories may phrase it differently, but here DR. SHRAVAN AMBATI (M.D.) maps to Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.

Is DR. SHRAVAN AMBATI (M.D.) tied to Orlando, Florida?

If you are local to Orlando, Florida, DR. SHRAVAN AMBATI (M.D.) may be relevant to your search.

Why is information missing for DR. SHRAVAN AMBATI (M.D.)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.