Active NPI
Indra Prasad Reddy Peram, M.D
- Family Medicine Physician
- Winter Haven, FL
National Provider Identifier
1063653285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2012-0540
- Practice address
- 200 Avenue F NE
Winter Haven, FL 33881-4131 - Phone
- (863) 293-1121
- NPI assigned
- Mar 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2012-0540 | NM | Primary |
| Family Medicine Physician | 207Q00000X | ME0139369 | FL |
Addresses
Primary practice location
200 Avenue F NE
Winter Haven, FL 33881-4131
Mailing address
200 Avenue F NE
Winter Haven, FL 33881-4131
Phone (863) 293-1121
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Ave F NE
Winter Haven, FL 33881-4131
Phone (863) 293-1121
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111
Hospital & facility affiliations
- Baycare Home Care Inc
- Winter Haven Hospital
- Unm Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0139369 | FL | MD | Family Medicine Physician |
| MD2012-0540 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Hospital Physician Services of Florida PA | Family Medicine | Current | Accepting new patients |
| Unm Hospital | Past | Accepting new patients |
Locations
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Interoperability endpoints
- kna7524@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Family Medicine
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Family Medicine, NM
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
FL
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1689747552
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bradenton, FL
- NPI 1295728186
-
- Home Health Agency
- Lakeland, FL
- NPI 1952309171
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1689747552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1063653285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 AVENUE F NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814131",
"telephone_number": "863-293-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AVENUE F NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814131",
"telephone_number": "863-293-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAM",
"first_name": "INDRA PRASAD",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-18",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2012-0540",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0139369",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UNMH@direct.health.unm.edu",
"affiliation": "N",
"address_1": "2211 Lomas Blvd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871062719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.