NPIMap

Individual provider Active NPI

Reji Radhakrishnan Nair, M.D.

  • Nephrology Physician
  • Kissimmee, FL
National Provider Identifier
1144482597
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME111887 Issued in FL
Practice address
1101 N Central Ave
Kissimmee, FL 34741-4405
Phone
(407) 933-2210
Fax
(407) 933-6428
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME111887 FL Primary
Nephrology Physician 207RN0300X TP120 KY

Addresses

Primary practice location

1101 N Central Ave
Kissimmee, FL 34741-4405

Mailing address

3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 851-6226

Other identifiers 1

IdentifierTypeStateIssuer
014673900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528000868 FL Practitioner - Nephrology 2466691290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Florida Kidney Specialists IncGroup PAC ID 6608233705, 38 clinicians

Practice addresses (Care Compare)

33048 US Hwy 27 N
Haines City, FL 33844-7621
Phone (863) 875-5139

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111887FLMDNephrology Physician
TP120KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Kidney Specialists Inc Nephrology CurrentSince Jun 1, 2023 Accepting new patients
Nephrology Associates of Central Florida, P.a. Nephrology CurrentSince Jun 9, 2017 Accepting new patients

Locations

33048 US Hwy 27 N
Haines City, FL 33844
Phone (787) 248-9885

1101 N Central Ave
Kissimmee, FL 34741
Phone (407) 284-1993

3885 Oakwater Cir
Orlando, FL 32806
Phone (407) 816-5700

2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693

320 1st St N
Ste 702
Winter Haven, FL 33881
Phone (863) 875-5139

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: reji.nair@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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 8

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1144482597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066257",
            "telephone_number": "407-851-6226",
            "fax_number": "407-438-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-933-2210",
            "fax_number": "407-933-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "REJI",
        "middle_name": "RADHAKRISHNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME111887",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "TP120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014673900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.