Active NPI
Aji Valayil Achuthan, ARNP
- Family Nurse Practitioner
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9241888
- Practice address
- 1741 David Walker Dr
Tavares, FL 32778-5745 - Phone
- (352) 742-3578
- Fax
- (352) 742-3581
- NPI assigned
- Oct 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9241888 | FL | Primary |
Addresses
Primary practice location
1741 David Walker Dr
Tavares, FL 32778-5745
Mailing address
3090 Caruso CT Ste 50
Orlando, FL 32806-8510
Phone (407) 481-7179
Other practice location 1
555 W State Road 434
Longwood, FL 32750-5119
Phone (321) 842-2994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016521900 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 742-3581
10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone (407) 578-0033
17000 Porter Rd
Winter Garden, FL 34787-8915
1900 Don Wickham Dr
Clermont, FL 34711-1979
32 W Gore St
Orlando, FL 32806-1134
380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone (407) 767-1200
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
Hospital & facility affiliations
- Adventhealth Waterman
- Orlando Health-Health Central Hospital
- Orlando Health South Lake Hospital
- Orlando Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- aachuthan70903@adventhealth.direct-ci.com
- aachuthan27835@orlandohealth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1023489309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 CARUSO CT STE 50",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328068510",
"telephone_number": "407-481-7179",
"fax_number": "407-481-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 DAVID WALKER DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785745",
"telephone_number": "352-742-3578",
"fax_number": "352-742-3581"
}
],
"practiceLocations": [
{
"address_1": "555 W State Road 434",
"address_purpose": "LOCATION",
"city": "Longwood",
"state": "FL",
"postal_code": "327505119",
"country_code": "US",
"telephone_number": "321-842-2994",
"fax_number": "407-767-5801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACHUTHAN",
"first_name": "AJI",
"middle_name": "VALAYIL",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9241888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016521900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
- Aaa Referral & Home Health Corp.
- Sarah Jean Abed Lima
- Malena Abreu Sintes, BCBA
- Abundant Life Nursing and Supportive Services LLC
- Abundant Life Nursing and Supportive Services, LLC
- Daljenny Lorraine Acosta, PT, DPT
- Melissa Adarmes
- Sara Renee Aderholdt, LCSW
- Adult Counseling & Psychotherapy of Lake County, LLC
- Advanced Behavioral Health Center PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.