Individual provider Active NPI

Amita Kathuria, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Orlando, FL
National Provider Identifier
1053401158
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME102432 Issued in FL
Practice address
3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone
(407) 266-3627
NPI assigned
Oct 13, 2006
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME102432 FL Primary

Addresses

Primary practice location

3400 Quadrangle Blvd
Orlando, FL 32817-1492

Mailing address

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 266-3627

Other practice location 1

PO Box 100226
Gainesville, FL 32610-7201
Phone (352) 273-8656

Other identifiers 1

IdentifierTypeStateIssuer
000357400MedicaidFL

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
I20081202000704 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 7517028012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Florida College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 882-4814

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102432FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Central Florida Board of Trustees CurrentSince Mar 2, 2020 Accepting new patients
The University of Central Florida Board of Trustees CurrentSince Mar 2, 2020 Accepting new patients

Locations

12424 Research Pkwy
Ste 155
Orlando, FL 32826
Phone (407) 249-4770

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

9975 Tavistock Lakes Blvd
Ste 360
Orlando, FL 32827
Phone (407) 266-3627

Interoperability endpoints

  • Direct secure messaging: akathuria170692@direct.shands.ufl.edu
  • Direct secure messaging: amita.kathuria@ucfh.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1053401158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 QUADRANGLE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171492",
            "telephone_number": "407-266-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 QUADRANGLE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171492",
            "telephone_number": "407-266-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 100226",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326107201",
            "country_code": "US",
            "telephone_number": "352-273-8656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATHURIA",
        "first_name": "AMITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME102432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000357400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.