NPIMap

Individual provider Active NPI

Pardeep Kumari, MD

  • Infectious Disease Physician
  • Pensacola, FL
National Provider Identifier
1083697320
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0080464 Issued in FL
Practice address
2120 E Johnson Ave
Pensacola, FL 32514
Phone
(850) 549-4755
Fax
(850) 549-4760
NPI assigned
Nov 21, 2005
Last updated
May 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0080464 FL Primary

Addresses

Primary practice location

2120 E Johnson Ave
Pensacola, FL 32514

Mailing address

PO Box 11640
Pensacola, FL 32524
Phone (850) 549-4755

Other identifiers 1

IdentifierTypeStateIssuer
258918400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000181 FL Practitioner - Infectious Disease 0840293825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulf Coast Infectious Diseases IncGroup PAC ID 9537164769, 3 clinicians

Practice addresses (Care Compare)

2120 E Johnson Ave
Suite 105
Pensacola, FL 32514-6091
Phone (850) 549-4755

5151 N 9TH Ave
Suite 1405
Pensacola, FL 32504-8721
Phone (850) 416-7000

7000 Cobble CRK
Pensacola, FL 32504-8638
Phone (850) 473-4800

8354 N Davis Hwy
Pensacola, FL 32514-6067
Phone (850) 549-4760

8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone (850) 494-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.37 of 100Reported as individual
Quality
78.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue218
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0080464FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Infectious Diseases Inc Infectious Disease CurrentSince Aug 1, 2006 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
Gulf Coast Infectious Disease Infectious Disease Past Accepting new patients

Locations

2120 E Johnson Ave
Pensacola, FL 32514
Phone (850) 494-4885

2120 E Johnson Ave
Ste 105
Pensacola, FL 32514
Phone (850) 549-4755

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

Interoperability endpoints

  • Direct secure messaging: pardeepkumari@jdpk.ssdirect.aprima.com

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.

Hospital & facility affiliations 10

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1083697320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11640",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32524",
            "telephone_number": "850-549-4755",
            "fax_number": "850-549-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32514",
            "telephone_number": "850-549-4755",
            "fax_number": "850-549-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMARI",
        "first_name": "PARDEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0080464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258918400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.