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Deactivated NPI 1558460667 Deactivated / Inactive NPI Male Practitioner

Dr. Eyyunni S Ramanujam , MD

Surgery • St Augustine, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eyyunni Ramanujam has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2006
NPI Deactivation Date January 22, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Eyyunni Ramanujam, MD was a registered Surgery practicing in St Augustine, FL. Throughout an active medical career spanning 20 years, Dr. Ramanujam provided care at the practice location at 201 HEALTH PARK BLVD until profile deactivation on 2026-01-22.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

201 Health Park Blvd
Suite 107

St Augustine, FL 320865796

Telephone 9048190101
Fax 9048254759
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
8 Specialists

Practicing in St Augustine, FL (2030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
54 22 $109.65 $69.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
36 35 $221.63 $129.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $244.12 $155.10

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME81943

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Uma Eyyunni , MD

Otolaryngology

NPI 1821192352

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated January 22, 2026

Record deactivated on January 22, 2026

NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 27, 2017

Registered at 201 HEALTH PARK BLVD, SUITE 107, ST AUGUSTINE, FL 320865796 (Tel: 9048190101)

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Updated Business Mailing Address September 27, 2017

Registered at PO BOX 3123, ST AUGUSTINE, FL 320853123 (Tel: 9048244990)

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Provider Name / Credentials Updated September 27, 2017

Recorded as RAMANUJAM EYYUNNI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Surgery (License #ME81943 in FL)

NPI Profile Active August 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 19, 2011

Registered at 201 HEALTH PARK BLVD, SUITE 107, ST AUGUSTINE, FL 320865796 (Tel: 9048190101)

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Updated Business Mailing Address August 19, 2011

Registered at PO BOX 3123, ST AUGUSTINE, FL 320853123 (Tel: 9048244990)

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Provider Name / Credentials Updated August 19, 2011

Recorded as EYYUNNI RAMANUJAM, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2011

Surgery (License #ME81943 in FL)

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Initial NPI Registration & Enumeration September 22, 2006

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: 1558460667
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: August 19, 2011
Deactivation Date: January 22, 2026

Mailing Address

Po Box 3123

St Augustine, FL 320853123

Phone: 9048244990

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.