Priyamvada Gujjar, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME84419 Issued in FL

Practice address

4510 Caloosa CT
Sebring, FL 33875-5600

Phone

(863) 385-5129

Fax

(863) 385-7162

NPI assigned

Apr 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Thakkar Anesthesia Associates PA

  • Anesthesiology Physician
  • Sebring, FL
  • NPI 1518238831
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1003878737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 CALOOSA CT",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338755600",
            "telephone_number": "863-385-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 CALOOSA CT",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338755600",
            "telephone_number": "863-385-5129",
            "fax_number": "863-385-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUJJAR",
        "first_name": "PRIYAMVADA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME84419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Anne Gregalot, LPN
• Jana Grooms, LMHC
• Steven Michael Guelff, DMD, PA
• David Secundino Guerra, M.D., FACOG, MIGS
• Laura M Guise, LMHC
• Jennifer Haak, LPN
• Terrance W Hafner, O.D.
• Anthony Halterman, BSA
• Haley Monroe Hamilton, RN
• Hammock Inpatient Services

• Family Medicine Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.