Individual provider Active NPI

Satish Velagapudi, M.D

  • Clinical Cardiac Electrophysiology Physician
  • Port Charlotte, FL
National Provider Identifier
1124204763
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME141578 Issued in FL
Practice address
3400 Tamiami TRL Ste 203
Port Charlotte, FL 33952-8102
Phone
(941) 500-2155
Fax
(941) 500-2154
NPI assigned
Jan 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME141578 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X ME141578 FL Primary

Addresses

Primary practice location

3400 Tamiami TRL Ste 203
Port Charlotte, FL 33952-8102

Mailing address

3400 Tamiami TRL
BLGD 2 Ste 203
Port Charlotte, FL 33952
Phone (941) 500-2155

Other identifiers 1

IdentifierTypeStateIssuer
1124204763MedicaidWI

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
I20191003000999 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0446444707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Arrhythmia Center PLLCGroup PAC ID 5799104089, 2 clinicians

Practice addresses (Care Compare)

3300 Tamiami TRL
Suite 102a
Port Charlotte, FL 33952-8054

3400 Tamiami TRL
Port Charlotte, FL 33952-8102
Phone (941) 500-2155

Hospital & facility affiliations

  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Arrhythmia Center PLLC Clinical Cardiac Electrophysiology CurrentSince Oct 15, 2020 Accepting new patients
Prohealth Medical Group Inc Cardiovascular Disease Past Accepting new patients
Cogent Healthcare of Wisconsin, SC Past Accepting new patients
Memorial Multispecialty Associates Past Accepting new patients

Locations

3400 Tamiami Trl
Bldg 2
Pt Charlotte, FL 33952
Phone (941) 500-2155

3300 Tamiami Trl
Ste 102A
Pt Charlotte, FL 33952
Phone (941) 624-4499

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGHCCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGHCCD/Endpoint/FGHCCD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1124204763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 TAMIAMI TRL",
            "address_2": "BLGD 2 STE 203",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-500-2155",
            "fax_number": "941-500-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TAMIAMI TRL STE 203",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528102",
            "telephone_number": "941-500-2155",
            "fax_number": "941-500-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAGAPUDI",
        "first_name": "SATISH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME141578",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME141578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124204763",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.