Gayan Poovendran, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

ME121381 Issued in FL

Practice address

10650 W State Road 84 Ste 111
Davie, FL 33324-4235

Phone

(305) 209-1951

NPI assigned

Jun 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gayan.poovendran@1367.chartlogic.direct-ci.com

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.

• Meli Orthopedic Centers of Excellence,LLC.

  • Specialist
  • Ft Lauderdale, FL
  • NPI 1568581502
  Medicare reassignment NPD
• USA Sports Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Miami Beach, FL
  • NPI 1639700370
  Medicare reassignment NPD
• Poovendran Regenerative Orthopedic Institute

  • Medical Specialty Clinic/Center
  • Davie, FL
  • NPI 1457139974
  NPD Authorized official
• Meli Orthopedic Centers of Excellence, LLC

  • Orthopaedic Surgery Physician
  • Margate, FL
  • NPI 1194152090
  NPD (past)
• Meli Orthopedic Centers of Excellence, LLC

  • Orthopaedic Surgery Physician
  • Plantation, FL
  • NPI 1841757580
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1083935100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162743",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162743",
            "telephone_number": "954-580-4084",
            "fax_number": "954-530-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 W STATE ROAD 84 STE 111",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244235",
            "telephone_number": "305-209-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOVENDRAN",
        "first_name": "GAYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME121381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Enrique Polo Jr.
• Patricia Pomareda, NP
• Cristhian Rodrigo Ponce Barranco
• Maria Angela Pontillo, PT
• Poovendran Regenerative Orthopedic Institute
• Pop ABA LLC
• Sarah Jayne Popish, PHARM.D.
• Camila Porras
• Jessenia Porras
• Isabella Porres Chavez

• Sports Medicine (Family Medicine) Physician in Davie, FL
• Providers in Davie, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.