NPIMap

Individual provider Active NPI

Sailendra Upendram, MD

  • Internal Medicine Physician
  • Englewood, FL
National Provider Identifier
1205043536
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2782R Issued in AL
Practice address
601 Medical Dr
Englewood, FL 34223-3976
Phone
(941) 475-5621
Fax
(941) 474-5203
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L2782R AL Primary

Addresses

Primary practice location

601 Medical Dr
Englewood, FL 34223-3976

Mailing address

601 Medical Dr
Englewood, FL 34223-3976
Phone (941) 475-5621

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
I20150122000526 FL Practitioner - Cardiovascular Disease (Cardiology) 6709942980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Center of Englewood PAGroup PAC ID 9537122437, 5 clinicians

Practice addresses (Care Compare)

601 Medical Dr
Englewood, FL 34223-3976
Phone (941) 475-5621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2782RALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Center of Englewood PA CurrentSince Dec 1, 2014 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Inpatient Consultants of Alabama, Inc Internal Medicine Past Accepting new patients
QHG of Enterprise Inc Internal Medicine Past Accepting new patients
Apogee Medical Group Alabama Inc Internal Medicine Past Accepting new patients

Locations

601 Medical Dr
Englewood, FL 34223
Phone (941) 475-5621

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCJAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCJAAA/Endpoint/DCJAAA
  • Direct secure messaging: sailendra.upendram.1@15244.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1205043536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEDICAL DR",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233976",
            "telephone_number": "941-475-5621",
            "fax_number": "941-474-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MEDICAL DR",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233976",
            "telephone_number": "941-475-5621",
            "fax_number": "941-474-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPENDRAM",
        "first_name": "SAILENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "L2782R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.