Active NPI
Umesh Madhav Mhatre, M.D.
- Psychiatry Physician
- Lake City, FL
National Provider Identifier
1013098144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME-0027561
- Practice address
- 165 SW Vision Glenn
Lake City, FL 32025-1111 - Phone
- (386) 755-1800
- Fax
- (386) 758-8770
- NPI assigned
- Oct 17, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME-0027561 | FL | Primary |
Addresses
Primary practice location
165 SW Vision Glenn
Lake City, FL 32025-1111
Mailing address
165 SW Vision Glenn
Lake City, FL 32025-1111
Phone (386) 755-1800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406263894 | Other | FL | RAIILROAD MEDICARE |
| 592245265 2001 | Other | FL | OHIO BUREAU WORK COMP |
| 037553500 | Medicaid | FL | |
| ME0027561 | Other | FL | FL LICENSE |
| 01251 | Other | FL | BC/BS OF FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME-0027561 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013098144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SW VISION GLENN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251111",
"telephone_number": "386-755-1800",
"fax_number": "386-758-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SW VISION GLENN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251111",
"telephone_number": "386-755-1800",
"fax_number": "386-758-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MHATRE",
"first_name": "UMESH",
"middle_name": "MADHAV",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME-0027561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIILROAD MEDICARE",
"identifier": "406263894",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BUREAU WORK COMP",
"identifier": "592245265 2001",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037553500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "ME0027561",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF FL",
"identifier": "01251",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.