Individual provider Active NPI

Annapoorna Arunachalam, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Palm Springs, FL
National Provider Identifier
1083659148
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME68509 Issued in FL
Practice address
3150 S Congress Ave
Palm Springs, FL 33461-2552
Phone
(561) 434-4261
Fax
(561) 434-5039
NPI assigned
Jun 20, 2006
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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 ME68509 FL Primary

Addresses

Primary practice location

3150 S Congress Ave
Palm Springs, FL 33461-2552

Mailing address

3150 S Congress Ave
Palm Springs, FL 33461-2552
Phone (561) 434-4261

Other identifiers 14

IdentifierTypeStateIssuer
104164OtherFLAVMED ID
28216OtherFLBCBS ID
43334OtherFLNEIGHBORHOOD HEALTH ID
379873900MedicaidFL
650937559OtherFLHUMANA ID
G14494OtherFLVISTA HEALTH ID
910754100OtherFLFL NETPASS ID
0005387139OtherFLAETNA ID
16338OtherFLHEALTH EASE ID
6011408OtherNYGHI ID
650937559OtherFLUNITED HEALTH CARE ID
460003791OtherFLMEDICARE RAILROAD ID
17995OtherFLTOTAL HEALTH CHOICE ID
650937559OtherFLFIRST HEALTH INSURANCE ID

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
I20111228000091 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 2365422623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Annapoorna Arunachalam MD PAGroup PAC ID 6002896362, 2 clinicians

Practice addresses (Care Compare)

3150 S Congress Ave
Palm Springs, FL 33461-2552
Phone (561) 434-4261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME68509FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Annapoorna Arunachalam MD PA Endocrinology, Diabetes & Metabolism CurrentSince Feb 1, 2003 Accepting new patients
Apollo Medical Management Past Accepting new patients
Pomegranate Health Systems of Central Ohio, Inc. PastSince Jun 24, 2014 Accepting new patients

Locations

3150 S Congress Ave
Palm Springs, FL 33461
Phone (561) 434-4261

Networks

  • Freedom Health HMO Network

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1083659148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612552",
            "telephone_number": "561-434-4261",
            "fax_number": "561-434-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612552",
            "telephone_number": "561-434-4261",
            "fax_number": "561-434-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARUNACHALAM",
        "first_name": "ANNAPOORNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME68509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED ID",
            "identifier": "104164",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "28216",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH ID",
            "identifier": "43334",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379873900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA ID",
            "identifier": "650937559",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA HEALTH ID",
            "identifier": "G14494",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL NETPASS ID",
            "identifier": "910754100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "0005387139",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH EASE ID",
            "identifier": "16338",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID",
            "identifier": "6011408",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID",
            "identifier": "650937559",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD ID",
            "identifier": "460003791",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CHOICE ID",
            "identifier": "17995",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH INSURANCE ID",
            "identifier": "650937559",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.