Individual provider Active NPI

Pranav B Chudgar, M.D.

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1053562694
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME110738 Issued in FL
Practice address
83 W Miller St # Mp326
Orlando, FL 32806-2031
Phone
(321) 841-5281
Fax
(321) 843-2068
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME110738 FL Primary

Addresses

Primary practice location

83 W Miller St # Mp326
Orlando, FL 32806-2031

Mailing address

83 W Miller St # Mp326
Orlando, FL 32806-2031
Phone (321) 841-5281

Other practice location 1

867 Outer Rd Ste A
Orlando, FL 32814-6652
Phone (407) 898-6588

Other identifiers 1

IdentifierTypeStateIssuer
003948700MedicaidFL

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
I20111010000416 FL Practitioner - Obstetrics/Gynecology 6204008584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 4, 2014 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 4, 2014 Accepting new patients

Locations

4401 S Orange Ave
Ste 113
Orlando, FL 32806

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

867 Outer Rd
Ste A
Orlando, FL 32814
Phone (407) 898-6588

83 W Miller St
#326
Orlando, FL 32806
Phone (321) 841-5281

89 W Copeland Dr
Fl 3
Orlando, FL 32806
Phone (321) 841-3040

7404 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 381-7387

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pchudgar26714@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1053562694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST # MP326",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-841-5281",
            "fax_number": "321-843-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST # MP326",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-841-5281",
            "fax_number": "321-843-2068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "867 Outer Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328146652",
            "country_code": "US",
            "telephone_number": "407-898-6588",
            "fax_number": "407-896-3785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUDGAR",
        "first_name": "PRANAV",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME110738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003948700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.