Sreeja Gopidasan, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

HCA Florida Ocala Hospital , 1431 SW 1St Ave, Bitzer 7
Ocala, FL 34471

Phone

(352) 401-8311

NPI assigned

Jun 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

Practice roles

Locations

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.

• Harbor Medical Group LLC

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1689184335
  Medicare reassignment NPD
• Serenity Internal Medicine

  • Internal Medicine Physician
  • Punta Gorda, FL
  • NPI 1629652086
  NPD

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1235659848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HCA FLORIDA OCALA HOSPITAL , 1431 SW 1ST AVE, BITZER 7",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-401-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HCA FLORIDA OCALA HOSPITAL , 1431 SW 1ST AVE, BITZER 7",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-401-8311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2852 Tamiami Trl Ste 4",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339525100",
            "country_code": "US",
            "telephone_number": "941-212-2748",
            "fax_number": "941-328-8946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPIDASAN",
        "first_name": "SREEJA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9254124",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APRN9254124",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Goodrich
• Tina Goodrow, APRN, PMHNP-BC
• Levonda Katrell Goodson, LPN
• Christina Bates Goodwin, PAC
• Kanagalingam Gopalan, M.B.B.S
• Gordon M Johnson Arnp, LLC
• Tunisa Gordon-Donely
• Marcey Gordon
• Regina Gordon, DOULA
• Stanley Mark Gordon, DDS

• Student in an Organized Health Care Education/Training Program in Ocala, FL
• Providers in Ocala, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.