Ajith Kumar Potluri, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME115004 Issued in FL

Practice address

3391 W Vine St Ste 303
Kissimmee, FL 34741-4665

Phone

(407) 962-7449

Fax

(407) 932-0303

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

NeuropsychiatryAlso: Psychiatry

Education

Perelman School of Med at the University of Pennsylvania, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatric Consultants of Central Florida LLCGroup PAC ID 0749415644, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.83 of 100Reported as group

Quality

80.24

Improvement activities

40

Cost

70.85

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Psychiatric Consultants of Central Florida, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Kissimmee, FL
  • NPI 1174951891

  Geriatric Psychiatry

  Medicare reassignment Care Compare group NPD Authorized official
• La Amistad Residential Treatment Center LLC

  dba Central Florida Behavioral Hospital

  • Psychiatric Hospital
  • Orlando, FL
  • NPI 1235252602

  Psychiatry

  Medicare reassignment NPD
• Ameri Mindcare PA

  • Psychiatry Physician
  • Kissimmee, FL
  • NPI 1215193859
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1194791392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 W VINE ST STE 303",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414665",
            "telephone_number": "407-962-7449",
            "fax_number": "407-932-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 W VINE ST STE 303",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414665",
            "telephone_number": "407-962-7449",
            "fax_number": "407-932-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTLURI",
        "first_name": "AJITH",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME115004",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME115004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009920000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Portorreal Home Care Agency, LLC
• David Manuel Posada Ortiz, SA-C
• Vickie L Posey-Kerlin, LMHC
• Positive Solutions Counseling, LLC
• Melissa Gale T Potes, OTR/L
• Claudia Maria Potosme, PTA
• Janel Potts, APRN
• Yamilka Morales Pourani
• Lucena Powell
• Nakia Powell, APRN

• Psychiatry Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.