Individual provider Active NPI

Anitha Mogallapu, M.D

  • Psychiatry Physician
  • Arcadia, FL
National Provider Identifier
1003176835
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME113153 Issued in FL
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

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130820000524 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9133361298 Reassigns benefits to 3 organizations
I20220922001338 NY Practitioner - Psychiatry 9133361298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Che Behavioral Health Services of Florida, P.a.Group PAC ID 5698185775, 31 clinicians

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 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Nov 23, 2013 Accepting new patients
Bridgeconnect Psychiatry PLLC Psychiatry CurrentSince Jun 1, 2025 Accepting new patients
Knapp Street Psychiatry, PC Psychiatry CurrentSince Aug 3, 2022 Accepting new patients
Che Behavioral Health Services of Florida, P.a. Psychiatry CurrentSince Jun 1, 2021 Accepting new patients
Che Senior Psychological Services, PC Psychiatry CurrentSince Aug 3, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Nov 23, 2013 Accepting new patients
Mobile Optix PLLC PastSince Aug 1, 2021 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.

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

Verify at the official NPI Registry.