NPIMap

Individual provider Active NPI

Shashi Yuvraj Yoganand, M.D.

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1184740110
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME107493 Issued in FL
Practice address
303 E Altamonte Dr Ste 1000
Altamonte Springs, FL 32701-4403
Phone
(407) 349-7917
Fax
(407) 205-1060
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL 29069 SC
Family Medicine Physician 207Q00000X ME107493 FL Primary

Addresses

Primary practice location

303 E Altamonte Dr Ste 1000
Altamonte Springs, FL 32701-4403

Mailing address

303 E Altamonte Dr Ste 1000
Altamonte Springs, FL 32701-4403
Phone (407) 349-7917

Other identifiers 1

IdentifierTypeStateIssuer
003124200MedicaidFL

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
I20101019000632 FL Practitioner - Family Practice 2567655822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Adventhealth Senior Care IncGroup PAC ID 7618397886, 32 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

12323 W Colonial Dr
Suite 140
Winter Garden, FL 34787-4178
Phone (407) 318-7888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL 29069SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Senior Care Inc Family Medicine CurrentSince Jul 31, 2023 Accepting new patients

Locations

303 E Altamonte Dr
Ste 1000
Altamonte Springs, FL 32701
Phone (407) 349-7917

290 Clyde Morris Blvd
Ormond Beach, FL 32174
Phone (386) 615-6642

12323 W Colonial Dr
Ste 140
Winter Garden, FL 34787
Phone (352) 674-5000

Interoperability endpoints

  • Direct secure messaging: syoganand1460269@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 7

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1184740110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ALTAMONTE DR STE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014403",
            "telephone_number": "407-349-7917",
            "fax_number": "407-205-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ALTAMONTE DR STE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014403",
            "telephone_number": "407-349-7917",
            "fax_number": "407-205-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOGANAND",
        "first_name": "SHASHI",
        "middle_name": "YUVRAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL 29069",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003124200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.