Advanced Primary Care and Geriatrics PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME79071 Issued in FL

Legal business name

ADVANCED PRIMARY CARE AND GERIATRICS PA

Practice address

11200 Seminole Blvd Ste 210
Seminole, FL 33778-3239

Phone

(727) 319-8900

Fax

(727) 319-8700

NPI assigned

Oct 5, 2007

Last updated

Jan 26, 2023By 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

Ramanababu V Paladugu, M.D.NPI 1942239025

Title

Owner

Phone

(727) 319-8900

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Ramanababu V Paladugu, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Seminole, FL
  • NPI 1942239025
  Medicare reassignment NPD Authorized official
• Jennifer Graybill, DO

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1497016406
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1235327008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3925",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337753925",
            "telephone_number": "727-319-8900",
            "fax_number": "727-319-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 210",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337783239",
            "telephone_number": "727-319-8900",
            "fax_number": "727-319-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRIMARY CARE AND GERIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "PALADUGU",
        "authorized_official_first_name": "RAMANABABU",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-319-8900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME79071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-GR",
            "identifier": "DA4797",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269169800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Seminole, FL
• Providers in Seminole, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.