Active NPI
Nadarajah Nirmalan, MD
- Internal Medicine Physician
- St Petersburg, FL
National Provider Identifier
1043311699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0074565
- Practice address
- 3831 16TH St N
St Petersburg, FL 33703-5601 - Phone
- (727) 527-2139
- Fax
- (727) 522-2832
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0074565 | FL | Primary |
Addresses
Primary practice location
3831 16TH St N
St Petersburg, FL 33703-5601
Mailing address
PO Box 24535
Tampa, FL 33623-4535
Phone (727) 823-2188
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110222047 | Other | FL | RR MCR LOC 1 |
| 43370 | Other | FL | BLUE CROSS |
| 253566100 | Medicaid | FL | |
| P00658957 | Other | FL | RR MCR LOC 2 |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3831 16TH St N
St Petersburg, FL 33703-5601
Phone (727) 527-2139
Hospital & facility affiliations
- HCA Florida Healthcare at Home
- HCA Florida Northside Hospital
- St Anthonys Hospital
- HCA Florida St Petersburg Hospital
- Morton Plant Hospital
- Brighton Bay Center for Rehabilitation and Healing
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0074565 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sai Medical Center LLC | Internal Medicine | Current | Accepting new patients |
Locations
8999 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 576-9999
3831 16th St N
#7631
St Petersburg, FL 33703
3831 16th St N
St Petersburg, FL 33703
Phone (727) 527-2139
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1467541839
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1518911031
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1205880945
-
- Home Health Agency
- Clearwater, FL
- NPI 1659555951
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1043311699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24535",
"city": "TAMPA",
"state": "FL",
"postal_code": "336234535",
"telephone_number": "727-823-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 16TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337035601",
"telephone_number": "727-527-2139",
"fax_number": "727-522-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIRMALAN",
"first_name": "NADARAJAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0074565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR LOC 1",
"identifier": "110222047",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "43370",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253566100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR LOC 2",
"identifier": "P00658957",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.