Active NPI
Setty G Viralam, MD
- Neonatal-Perinatal Medicine Physician
- Coral Gables, FL
National Provider Identifier
1104875889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- ME44954
- Practice address
- 5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423 - Phone
- (305) 661-1515
- NPI assigned
- May 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME44954 | FL | Primary |
Addresses
Primary practice location
5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Mailing address
215 Grand Ave
Coral Gables, FL 33133-4841
Phone (305) 441-7179
Other practice location 1
800 Harbour Isle Ct
West Palm Beach, FL 33410-4417
Phone (561) 827-8805
Other practice location 2
901 45th Street
St Marys Hospital NICU
West Palm Beach, FL 33407
Phone (561) 840-6220
Other practice location 3
215 Grand Ave
Coral Gables, FL 33133-4841
Phone (305) 441-7179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049998600 | Medicaid | FL |
Other names 1
- Dr. Gundanna Setty Viralam
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | setty.viralam@kidzmedical.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161017000981 | FL | Order and Referring Only - Pediatric Medicine | 7315235884 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME44954 | FL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Dade Neonatology | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neonatal-Perinatal Medicine Physician
- Coral Gables, FL
- NPI 1841369006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1104875889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 GRAND AVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331334841",
"telephone_number": "305-441-7179",
"fax_number": "305-448-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5955 PONCE DE LEON BLVD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462423",
"telephone_number": "305-661-1515"
}
],
"practiceLocations": [
{
"address_1": "800 Harbour Isle Ct",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334104417",
"country_code": "US",
"telephone_number": "561-827-8805",
"fax_number": "561-827-8805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 45th Street",
"address_2": "St Marys Hospital NICU",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "33407",
"country_code": "US",
"telephone_number": "561-840-6220",
"fax_number": "561-840-6285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 Grand Ave",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331334841",
"country_code": "US",
"telephone_number": "305-441-7179",
"fax_number": "305-448-7134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIRALAM",
"first_name": "SETTY",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "ME44954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049998600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "setty.viralam@kidzmedical.com",
"affiliation": "N",
"address_1": "5955 Ponce De Leon Blvd",
"city": "Coral Gables",
"state": "FL",
"country_code": "US",
"postal_code": "331462423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GUNDANNA",
"last_name": "VIRALAM",
"middle_name": "SETTY",
"prefix": "DR.",
"credential": "MBBS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.