NPIMap

Individual provider Active NPI

Udayakumar Navaneethan, MD

  • Gastroenterology Physician
  • St Petersburg, FL
National Provider Identifier
1225227507
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME118891 Issued in FL
Practice address
701 6TH St S
Saint Petersburg, FL 33701-4814
Phone
(321) 842-2431
Fax
(321) 842-3651
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57012862 OH
Gastroenterology Physician 207RG0100X ME118891 FL Primary

Addresses

Primary practice location

701 6TH St S
Saint Petersburg, FL 33701-4814

Mailing address

1335 Sligh Blvd
Orlando, FL 32806
Phone (321) 842-2431

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
I20140723000944 FL Practitioner - Gastroenterology 8325280944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

86 W Underwood St
Orlando, FL 32806-1110
Phone (407) 896-1100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy301
Upper gastrointestinal (GI) endoscopy for acid reflux68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57012862OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Mar 19, 2021 Accepting new patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Mar 25, 2021 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Mar 19, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 1, 2014 Accepting new patients
Ohi West Medical Group, LLC Internal Medicine CurrentSince Mar 25, 2021 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142

1305 Kuhl Ave
Orlando, FL 32806
Phone (321) 842-9000

1335 Sligh Blvd
Orlando, FL 32806
Phone (321) 841-5243

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: unavaneethan163756@orlandohealth.medalliesdirect.net

Organizations & group practices 7

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 6

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1225227507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 SLIGH BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "321-842-2431",
            "fax_number": "321-842-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "321-842-2431",
            "fax_number": "321-842-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVANEETHAN",
        "first_name": "UDAYAKUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57012862",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME118891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.