Individual provider Active NPI

Velamakanni Krishnamurty, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1043276991
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73225 Issued in FL
Practice address
22655 Bayshore Rd
Suite 110
Port Charlotte, FL 33980-2018
Phone
(941) 629-7092
Fax
(941) 629-1111
NPI assigned
Apr 20, 2006
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 ME73225 FL Primary

Addresses

Primary practice location

22655 Bayshore Rd
Suite 110
Port Charlotte, FL 33980-2018

Mailing address

22655 Bayshore Rd
Suite 110
Port Charlotte, FL 33980-2018
Phone (941) 629-7092

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
I20040611000285 FL Practitioner - Internal Medicine 6709869530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73225FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S W Nephrology Services Inc Internal Medicine CurrentSince Aug 12, 2008 Accepting new patients

Locations

22655 Bayshore Rd
Ste 110
Punta Gorda, FL 33980
Phone (941) 235-4900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1043276991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22655 BAYSHORE RD",
            "address_2": "SUITE 110",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802018",
            "telephone_number": "941-629-7092",
            "fax_number": "941-629-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22655 BAYSHORE RD",
            "address_2": "SUITE 110",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802018",
            "telephone_number": "941-629-7092",
            "fax_number": "941-629-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAMURTY",
        "first_name": "VELAMAKANNI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.