Individual provider Active NPI

Priyanka Badhwar, D.O.

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1255728077
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS16015 Issued in FL
Practice address
4098 Libra Dr
Orlando, FL 32816-8026
Phone
(407) 823-2701
Fax
(407) 823-0493
NPI assigned
Apr 20, 2015
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS16015 FL Primary

Addresses

Primary practice location

4098 Libra Dr
Orlando, FL 32816-8026

Mailing address

4098 Libra Dr
Orlando, FL 32816-8026
Phone (407) 823-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150805008612 OH Order and Referring Only - PsychiatryPractitioner - Psychiatry 6507170461

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16015FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Central Florida Student in an Organized Health Care Education/Training Program PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1255728077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4098 LIBRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168026",
            "telephone_number": "407-823-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4098 LIBRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168026",
            "telephone_number": "407-823-2701",
            "fax_number": "407-823-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADHWAR",
        "first_name": "PRIYANKA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS16015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.