Active NPI
Katikuti Eswara Dutt, MD
- Internal Medicine Physician
- Wesley Chapel, FL
National Provider Identifier
1003960899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME79429
- Practice address
- 27124 Winged Elm Dr
Wesley Chapel, FL 33544-7773 - Phone
- (813) 991-6787
- Fax
- (813) 991-6758
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME79429 | FL | Primary |
Addresses
Primary practice location
27124 Winged Elm Dr
Wesley Chapel, FL 33544-7773
Mailing address
27124 Winged Elm Dr
Wesley Chapel, FL 33544-7773
Phone (813) 991-6787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME79429 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1003960899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27124 WINGED ELM DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335447773",
"telephone_number": "813-991-6787",
"fax_number": "813-991-6758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27124 WINGED ELM DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335447773",
"telephone_number": "813-991-6787",
"fax_number": "813-991-6758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTT",
"first_name": "KATIKUTI",
"middle_name": "ESWARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME79429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.