Active NPI
Anitha Mogallapu, M.D
- Psychiatry Physician
- Arcadia, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME113153
- Practice address
- 725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752 - Phone
- (239) 936-5250
- Fax
- (239) 936-9970
- NPI assigned
- May 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME113153 | FL | Primary |
Addresses
Primary practice location
725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752
Mailing address
PO Box 780327
Orlando, FL 32878-0327
Other practice location 1
43 Barkley Cir
Suite 201
Fort Myers, FL 33907-4510
Phone (407) 620-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6750 N Andrews Ave
Suite 200
Ft Lauderdale, FL 33309-2180
Phone (888) 515-3834
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current | Accepting new patients | |
| Bridgeconnect Psychiatry PLLC | Psychiatry | Current | Accepting new patients |
| Knapp Street Psychiatry, PC | Psychiatry | Current | Accepting new patients |
| Che Behavioral Health Services of Florida, P.a. | Psychiatry | Current | Accepting new patients |
| Che Senior Psychological Services, PC | Psychiatry | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| Mobile Optix PLLC | Past | Accepting new patients |
Locations
725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242
6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
400 N Tampa St
Ste 1550
Tampa, FL 33602
Phone (315) 415-3546
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101
Networks
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- FL HMO C-SNP
- AL HMO
- FL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- Freedom Health HMO Network
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO D-SNP
- FL HMO D-SNP
Organizations & group practices 7
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.
-
- Geriatric Psychiatry Physician
- Tampa, FL
- NPI 1851286009
-
- Community/Behavioral Health Agency
- Ft Lauderdale, FL
- NPI 1932721206
Psychiatry
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Optometrist
- Tampa, FL
- NPI 1346809480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1003176835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780327",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328780327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 N 12TH AVE BLDG B",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342668752",
"telephone_number": "239-936-5250",
"fax_number": "239-936-9970"
}
],
"practiceLocations": [
{
"address_1": "43 Barkley Cir",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339074510",
"country_code": "US",
"telephone_number": "407-620-8775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOGALLAPU",
"first_name": "ANITHA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-27",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME113153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.