NPIMap

Organization Active NPI

Annapoorna Arunachalam MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Palm Springs, FL
National Provider Identifier
1124160668
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME68509 Issued in FL
Legal business name
ANNAPOORNA ARUNACHALAM MD PA
Practice address
3150 South Congress Ave
Palm Springs, FL 33414-2552
Phone
(866) 427-0850
Fax
(561) 282-3238
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Dr. Annapoorna Arunachalam, M.D.NPI 1083659148
Title
President
Phone
(561) 434-4261

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 ME68509 FL Primary

Addresses

Primary practice location

3150 South Congress Ave
Palm Springs, FL 33414-2552

Mailing address

3150 South Congress Ave
Palm Springs, FL 33414-2552
Phone (866) 427-0850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726000818 FL Part B Supplier - Clinic/Group Practice 6002896362 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Springs, FL

National Provider Directory

National Provider Directory

Locations

3150 S Congress Ave
Palm Springs, FL 33461
Phone (561) 434-4261

155 E Blue Heron Blvd
Ste R5
Riviera Beach, FL 33404
Phone (561) 478-6838

Networks

  • HealthSun Health Plans Network

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1124160668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 SOUTH CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334142552",
            "telephone_number": "866-427-0850",
            "fax_number": "561-282-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 SOUTH CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334142552",
            "telephone_number": "866-427-0850",
            "fax_number": "561-282-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOORNA ARUNACHALAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "ARUNACHALAM",
        "authorized_official_first_name": "ANNAPOORNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-434-4261",
        "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": "FL",
            "license": "ME68509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.