Family Medical Doctors,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME44439 Issued in FL

Legal business name

FAMILY MEDICAL DOCTORS,LLC

Practice address

5234 Little Rd
New Port Richey, FL 34655-1213

Phone

(727) 807-6900

Fax

(727) 807-6901

NPI assigned

Aug 31, 2012

Organization subpart

No

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

Authorized official

Name

Bharat M Desai, M.D.NPI 1124122486

Title

President

Phone

(727) 807-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bharat M Desai, MD

  • Pulmonary Disease Physician
  • New Port Richey, FL
  • NPI 1124122486
  Medicare reassignment Care Compare group Authorized official
• Nilesh Desai, M.D.

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1255569554
  Medicare reassignment Care Compare group NPD
• Amanda Clevenger, FNP

  • Family Medicine Physician
  • New Port Richey, FL
  • NPI 1780311209
  NPD

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1255680591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5234 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551213",
            "telephone_number": "727-807-6900",
            "fax_number": "727-807-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5234 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551213",
            "telephone_number": "727-807-6900",
            "fax_number": "727-807-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL DOCTORS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-807-6900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME44439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wael Fathy Gayd Faltas, MD
• Families First Transportation Corp
• Family Dental Center
• Family First Autism Services L.L.C.
• Family Medical Center
• Family Service Centers, Inc.
• Nengying Fan
• Fana Medical Group New Port Richey
• Christine Anne Fanelli, L.C.S.W.
• Sameh Faragallah

• Internal Medicine Physician in New Port Richey, FL
• Providers in New Port Richey, 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 Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.