Organization Active NPI

Apollo Healthcare Associates LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Palm Bay, FL
National Provider Identifier
1114397809
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
APOLLO HEALTHCARE ASSOCIATES LLC
Practice address
1326 Malabar Rd SE Ste 3
Palm Bay, FL 32907-2502
Phone
(321) 409-6100
Fax
(321) 409-6063
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Dr. Pamela L Ojha, M.D.NPI 1730137282
Title
Owner/Physician
Phone
(321) 506-3985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1326 Malabar Rd SE Ste 3
Palm Bay, FL 32907-2502

Mailing address

1326 Malabar Rd SE Ste 3
Palm Bay, FL 32907-2502
Phone (321) 409-6100

Other identifiers 1

IdentifierTypeStateIssuer
263030300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151111001971 FL Part B Supplier - Clinic/Group Practice 2961712575 Receives reassigned benefits from 3 practitioners
Practice locations: Palm Bay, FL

National Provider Directory

National Provider Directory

Locations

1326 Malabar Rd SE
Ste 3
Palm Bay, FL 32907
Phone (321) 409-6100

2105 Palm Bay Rd NE
#3W
Palm Bay, FL 32905
Phone (321) 409-6100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12189/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1114397809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 MALABAR RD SE STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072502",
            "telephone_number": "321-409-6100",
            "fax_number": "321-409-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 MALABAR RD SE STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072502",
            "telephone_number": "321-409-6100",
            "fax_number": "321-409-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HEALTHCARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "OJHA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "321-506-3985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263030300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.