Individual provider Active NPI

Jyothsna Priyadarshini Bandaru, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1013362086
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME139624 Issued in FL
Practice address
3725 Piazza Dr Apt 202
Fort Myers, FL 33916-8130
Phone
(000) 000-0000
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME139624 FL Primary

Addresses

Primary practice location

3725 Piazza Dr Apt 202
Fort Myers, FL 33916-8130

Mailing address

3725 Piazza Dr Apt 202
Fort Myers, FL 33916-8130

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191216002642 FL Practitioner - Internal Medicine 5092075010 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians
Central Florida Inpatient Medicine LLCGroup PAC ID 7911805254, 113 clinicians
Orlando Inpatient Medicine PAGroup PAC ID 0749598316, 54 clinicians

Practice addresses (Care Compare)

525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone 4076472346111

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 445-9545

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tricounty Health LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Florida Med-Psych Consultants LLC CurrentSince Aug 1, 2023 Accepting new patients
Orlando Inpatient Medicine, PA Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Dec 27, 2025 Accepting new patients

Locations

753 Highway 466
Lady Lake, FL 32159
Phone (321) 248-2666

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1507 S Hiawassee Rd
Ste 206
Orlando, FL 32835
Phone (407) 445-9545

4056 E State Road 44
Wildwood, FL 34785
Phone (321) 248-2666

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJGBD
  • Direct secure messaging: direct@fhcswf.directbygreenway.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1013362086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 PIAZZA DR APT 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 PIAZZA DR APT 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168130",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDARU",
        "first_name": "JYOTHSNA",
        "middle_name": "PRIYADARSHINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME139624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.