Take a Leap, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TAKE A LEAP, INC

Practice address

13521 Bellaria Cir
Windermere, FL 34786-7403

Phone

(248) 830-3730

NPI assigned

Jun 6, 2025

Last updated

Jun 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shreyas Shakhamoori

Title

Ceo

Phone

(248) 830-3730

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhaskar Nandimandalam Raju, M.D.

  • Child & Adolescent Psychiatry Physician
  • Orlando, FL
  • NPI 1558397620
  Medicare reassignment NPD
• Jose Alberto Giron, M.D.

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1265619266
  Medicare reassignment

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1235023888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 BELLARIA CIR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867403",
            "telephone_number": "480-323-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 BELLARIA CIR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867403",
            "telephone_number": "248-830-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE A LEAP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "SHAKHAMOORI",
        "authorized_official_first_name": "SHREYAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-830-3730"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerport Surgery Center, LLC (Summerport Surgery Center)
• Luke Suvunrungsi, M.D.
• Nicole Ann Swartz, MSPT
• Manar Sweiss, PHARMACIST
• Mohammad Asim Syed, M.D.
• Carla Patricia Talavera-Jordan, D.M.D.
• Paola Tarragona
• Ramona Hunt Taylor, M.D.
• Raymond Michael Taylor, MD
• Stacy Ann Taylor

• Internal Medicine Physician in Windermere, FL
• Providers in Windermere, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.