NPIMap

Individual provider Active NPI

Jaideep Hingorani

  • Nephrology Physician
  • Port Charlotte, FL
National Provider Identifier
1003023581
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME104667 Issued in FL
Practice address
3300 Tamiami TRL
#101A
Port Charlotte, FL 33952-8054
Phone
(941) 629-4676
Fax
(941) 629-1522
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P 18943 MD
Nephrology Physician 207RN0300X ME104667 FL Primary

Addresses

Primary practice location

3300 Tamiami TRL
#101A
Port Charlotte, FL 33952-8054

Mailing address

3300 Tamiami TRL
#101A
Port Charlotte, FL 33952-8054
Phone (941) 629-4676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000669 FL Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 0345385589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Nephrology Associates PAGroup PAC ID 8325183569, 4 clinicians

Practice addresses (Care Compare)

3300 Tamiami TRL
Port Charlotte, FL 33952-8054
Phone (941) 629-4676

Hospital & facility affiliations

  • DaVita Port Charlotte Artificial Kidney Center Dialysis facility, Port Charlotte, FL, CCN 102549
  • DaVita Palm Breeze Dialysis Dialysis facility, North Port, FL, CCN 102892
  • Rai Care Centers - Punta Gorda Dialysis facility, Punta Gorda, FL, CCN 102706
  • FMC - Port Charlotte Dialysis facility, Port Charlotte, FL, CCN 682581
  • Dialyze Direct FL Dialysis facility, Boca Raton, FL, CCN 682588
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P 18943MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Nephrology Associates PA Nephrology CurrentSince Jan 4, 2010 Accepting new patients

Locations

3300 Tamiami Trl
Ste 101A
Pt Charlotte, FL 33952
Phone (941) 625-9985

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: j.hingorani@cna.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72796

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1003023581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TAMIAMI TRL",
            "address_2": "#101A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528054",
            "telephone_number": "941-629-4676",
            "fax_number": "941-629-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TAMIAMI TRL",
            "address_2": "#101A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528054",
            "telephone_number": "941-629-4676",
            "fax_number": "941-629-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINGORANI",
        "first_name": "JAIDEEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P 18943",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME104667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.