Organization Active NPI

Apollo Primary Care, LLC

  • Family Medicine Physician
  • Longwood, FL
National Provider Identifier
1043960750
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
APOLLO PRIMARY CARE, LLC
Practice address
721 Ciara Creek CV
Longwood, FL 32750-4659
Phone
(407) 887-7565
Fax
(407) 887-1955
NPI assigned
Mar 25, 2022
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Dr. Sivapriya Kumar, MDNPI 1639371784
Title
Physician
Phone
(407) 887-7565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

721 Ciara Creek CV
Longwood, FL 32750-4659

Mailing address

721 Ciara Creek CV
Longwood, FL 32750-4659
Phone (407) 887-7565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220812001258 FL Part B Supplier - Clinic/Group Practice 1052794740 Receives reassigned benefits from 1 practitioner
Practice locations: Longwood, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2260740Apollo Primary Care LLC721 Ciara Creek CV, Longwood, FL 32750Certificate of waiverMay 22, 2028

National Provider Directory

National Provider Directory

Locations

721 Ciara Creek Cv
Longwood, FL 32750
Phone (407) 887-7565

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BECJCD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1043960750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 CIARA CREEK CV",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504659",
            "telephone_number": "407-887-7565",
            "fax_number": "407-887-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CIARA CREEK CV",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504659",
            "telephone_number": "407-887-7565",
            "fax_number": "407-887-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SIVAPRIYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-887-7565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.