Individual provider Active NPI

Puja Shailesh Sitwala

  • Cardiovascular Disease Physician
  • Orlando, FL
National Provider Identifier
1225479199
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME170903 Issued in FL
Practice address
25 S Terry Ave Ste 310a
Orlando, FL 32805-1843
Phone
(407) 894-4474
NPI assigned
Jul 8, 2013
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME170903 FL Primary
Internal Medicine Physician 207R00000X 125064208 IL
Cardiovascular Disease Physician 207RC0000X 83228 SC

Addresses

Primary practice location

25 S Terry Ave Ste 310a
Orlando, FL 32805-1843

Mailing address

25 S Terry Ave Ste 310a
Orlando, FL 32805-1843
Phone (407) 894-4474

Other practice location 1

701 N 1st St
Springfield, IL 62702-3757
Phone (217) 545-0182

Other practice location 2

421 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 227-6818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191104000002 SC Practitioner - Cardiovascular Disease (Cardiology) 5991947111 Reassigns benefits to 2 organizations
I20250213002756 FL Practitioner - Cardiovascular Disease (Cardiology) 5991947111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Self Medical GroupGroup PAC ID 6002953916, shared by 4 NPIs, 393 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1305 Bennett Rd
Orlando, FL 32814-6013
Phone (864) 725-4111

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

1613 N Mills Ave
Orlando, FL 32803-1849
Phone (407) 894-4474

2100 Ocoee Apopka Rd
Apopka, FL 32703-9210

25 S Terry Ave
Suite 320
Orlando, FL 32805-1843
Phone (844) 407-4070

2501 N Orange Ave
Orlando, FL 32804-4641

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

400 Celebration PL
Celebration, FL 34747-4970

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214

689 E Altamonte Dr
Altamonte Springs, FL 32701-4801
Phone (407) 894-4474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME170903FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville County Memorial Hospital CurrentSince Apr 21, 2024 Accepting new patients
Self Medical Group Cardiovascular Disease CurrentSince Jan 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 7, 2025 Accepting new patients
Self Medical Group CurrentSince Nov 1, 2019 Accepting new patients
Self Medical Group CurrentSince Nov 1, 2019 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Apr 21, 2024 Accepting new patients
Self Medical Group Current Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

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

25 S Terry Ave
Ste 310A
Orlando, FL 32805

75 Remittance Dr
Dept 6764
Chicago, IL 60675

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

905 W Greenwood St
Abbeville, SC 29620
Phone (864) 223-8090

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

421 Epting Ave
Greenwood, SC 29646
Phone (864) 227-6818

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: psitwala4856555@adventhealth.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1225479199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S TERRY AVE STE 310A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051843",
            "telephone_number": "407-894-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S TERRY AVE STE 310A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051843",
            "telephone_number": "407-894-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627023757",
            "country_code": "US",
            "telephone_number": "217-545-0182",
            "fax_number": "217-545-4735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Epting Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464041",
            "country_code": "US",
            "telephone_number": "864-227-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SITWALA",
        "first_name": "PUJA",
        "middle_name": "SHAILESH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME170903",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125064208",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "83228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.