Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053872739 Individual Practitioner Male Practitioner

Dr. Krishnan Ravindran , MD

Neurological Surgery • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Krishnan Ravindran, MD is a certified Neurological Surgery practicing in Jacksonville, FL. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Ravindran delivers high-quality medical care to the local community at 836 PRUDENTIAL DR STE 1400.

Dr. Ravindran does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

836 Prudential Dr Ste 1400

Jacksonville, FL 322078340

Telephone 9043886518
Fax 9043841005
Associated Practice Facility / Clinic
🏢 Lyerly Baptist Inc Facility NPI 1740515006

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Jacksonville, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -9.5 yrs vs City Avg
City Avg: 17.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
78 Specialists

Practicing in Jacksonville, FL (675 Statewide)

Telehealth Adoption Rate
28.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ravindran (8 Years) 8 Yrs
Jacksonville Specialty Average (17.5 Years) 17.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-30
Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License FL ME151705

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Defazio , PA-C

Physician Assistant

NPI 1003271404

Physician Assistant (Certified)

Timothy Garrahy , APRN

Nurse Practitioner

NPI 1013530807

Advanced Practice Registered Nurse

Dr. Sasha Vaziri , MD

Neurological Surgery

NPI 1023495017

Doctor of Medicine (M.D.)

Annalise Deboef , APRN

Nurse Practitioner

NPI 1053926501

Advanced Practice Registered Nurse

Tiffany Dyal

Physician Assistant

NPI 1073009619
Faith Hill , APRN

Nurse Practitioner

NPI 1073339545

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 30, 2026

Registered at 836 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 322078340 (Tel: 9043886518)

📍
Updated Business Mailing Address June 30, 2026

Registered at PO BOX 746647, ATLANTA, GA 303746647 (Tel: 9042022092)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2026

Neurological Surgery (License #ME151705 in FL)

📍
Updated Practice Location June 24, 2020

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍
Updated Business Mailing Address May 26, 2020

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2020

Surgery (License #TRN28208 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2019

Student in an Organized Health Care Education/Training Program (License #TRN28208 in FL)

NPI Profile Active March 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2019

Registered at 655 W 8TH ST, JACKSONVILLE, FL 322096511 (Tel: 9042440411)

📍
Updated Business Mailing Address March 26, 2019

Registered at 3 MOUNTAIN RIDGE ROAD, BRAMPTON, ONTARIO L6Y0S5

👤
Provider Name / Credentials Updated March 26, 2019

Recorded as KRISHNAN RAVINDRAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053872739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2019
Last Update: June 30, 2026
Sole Proprietor: No

Mailing Address

Po Box 746647

Atlanta, GA 303746647

Phone: 9042022092

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.