Individual provider Active NPI

Muneshwar Derek Tooriram, NP

  • Nurse Practitioner
  • Plant City, FL
National Provider Identifier
1023085362
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2781782 Issued in FL
Practice address
301 N Alexander St
Plant City, FL 33563-4303
Phone
(813) 757-1290
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2781782 FL Primary

Addresses

Primary practice location

301 N Alexander St
Plant City, FL 33563-4303

Mailing address

PO Box 863481
Orlando, FL 32886-3481

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514001057 FL Practitioner - Nurse Practitioner 0143210799 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Associates of Tampa Bay, LLC CurrentSince Nov 15, 2014 Accepting new patients
Tampa Bay Emergency Physicians-Heartland LLC CurrentSince Oct 1, 2024 Accepting new patients
Observation Medical Group LLC CurrentSince Apr 1, 2016 Accepting new patients
Observation Medical Group LLC CurrentSince Apr 1, 2016 Accepting new patients
Franklin, Favata & Hulls, MD'S, PA Past Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients
Emergency Services of Zephyrhills PA Nurse Practitioner Past Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Past Accepting new patients
Carrollwood Emergency Physicians PA Past Accepting new patients

Locations

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 870-4000

Organizations & group practices 11

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1023085362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863481",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634303",
            "telephone_number": "813-757-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOORIRAM",
        "first_name": "MUNESHWAR",
        "middle_name": "DEREK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2781782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.