Individual provider Active NPI

Hemanthi Veligaram, MBBS

  • Pediatrics Physician
  • Pensacola, FL
National Provider Identifier
1073122347
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
TRN31942 Issued in FL
Practice address
1295 W Fairfield Dr
Pensacola, FL 32501-1107
Phone
(850) 941-7842
Fax
(850) 332-0155
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 04-52444 KS
Pediatrics Physician 208000000X TRN31942 FL Primary

Addresses

Primary practice location

1295 W Fairfield Dr
Pensacola, FL 32501-1107

Mailing address

800 Rose St #101 (HQ)
Lexington, KY 40536-7001
Phone (850) 960-5149

Other practice location 1

550 N Hillside St Apt 310
Wichita, KS 67214-4976
Phone (316) 962-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20231208001264 KY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8224487780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TRN31942FLMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1073122347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST #101 (HQ)",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "850-960-5149",
            "fax_number": "850-332-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 W FAIRFIELD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011107",
            "telephone_number": "850-941-7842",
            "fax_number": "850-332-0155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 N Hillside St Apt 310",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144976",
            "country_code": "US",
            "telephone_number": "316-962-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELIGARAM",
        "first_name": "HEMANTHI",
        "name_prefix": "Miss",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KS",
            "license": "04-52444",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "TRN31942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.