Latchman Sharma Hardowar, M.D.
Individual provider Active NPI Family Medicine Physician · Kissimmee, FL
NPI 1043279151 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1043279151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME-93125 (FL)
- Practice address
- 2120 Michigan Avenue
Kissimmee, FL 34744-2927 - Phone
- (407) 483-8944
- Fax
- (407) 483-8946
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Home Visiting Physicians, LLC
Doctor House Call LLC
Practice addresses (Care Compare)
2120 Michigan Ave
Kissimmee, FL 34744-2927
Phone (407) 483-8944
2128 Michigan Ave
Kissimmee, FL 34744-2927
Phone (407) 414-1796
Hospital & facility affiliations
- Kindred at Home
- Pinnacle Home Care
- Trilogy Home Healthcare
- Vitas Healthcare Corporation of Florida
- Adventhealth Orlando
- The Good Samaritan Society-Kissimmee Village
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060110000452 | FL | Practitioner - Family Practice | 2668495250 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME-93125 | FL | MD | Family Medicine Physician |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor House Call LLC | Family Medicine | Current |
Accepting new patients |
| Home Visiting Physicians, LLC | Family Medicine | Current |
Accepting new patients |
| Florida Optical Enterprises, Inc. | Past |
Accepting new patients | |
| Bond Urgent Care LLC | Past | Accepting new patients | |
| Florida Care Level Management Direct, LLC | Past | Accepting new patients |
Locations
2120 Michigan Ave
Kissimmee, FL 34744
Phone (407) 201-9834
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- latchman.hardowar.p1@direct.bondclinicpa.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME-93125 | FL | Yes |
Addresses
Primary practice location
2120 Michigan Avenue
Kissimmee, FL 34744-2927
Mailing address
2120 Michigan Ave
Kissimmee, FL 34744-2927
Phone (407) 483-8944
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003570700 | Medicaid | FL |
NPI Registry JSON
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1043279151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 MICHIGAN AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347442927",
"telephone_number": "407-483-8944",
"fax_number": "407-483-8946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 MICHIGAN AVENUE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347442927",
"telephone_number": "407-483-8944",
"fax_number": "407-483-8946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDOWAR",
"first_name": "LATCHMAN",
"middle_name": "SHARMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME-93125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003570700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
- Happy Healing Growing Process, E.T.C., LLC
- Happy Kiddos Behavioral Services Corp.
- Happy Kiddos Behavioral Services Corp.
- Happy Living LLC
- Happy Living of Florida LLC.
- Latasha Renee Hardy
- Trinese Nicole Hardy
- Harmony Behavioral Health Center LLC
- Harmony Life Angels LLC
- Harmony Telecounseling Inc.
All providers in Kissimmee, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.