Individual provider Active NPI

Setty G Viralam, MD

  • Neonatal-Perinatal Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1104875889
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
ME44954 Issued in FL
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

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
049998600MedicaidFL

Other names 1

  • Dr. Gundanna Setty Viralam Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017000981 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7315235884

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME44954FLMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.