Organization Active NPI

Janivara Umesh MD

  • Internal Medicine Physician
  • Bartow, FL
National Provider Identifier
1265824064
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0041112 Issued in FL
Legal business name
JANIVARA UMESH MD
Practice address
1350 E Main St
Suite C1
Bartow, FL 33830-5065
Phone
(863) 646-7220
Fax
(863) 533-0333
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Janivara Umesh, MD
Title
Owner
Phone
(863) 646-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0041112 FL Primary

Addresses

Primary practice location

1350 E Main St
Suite C1
Bartow, FL 33830-5065

Mailing address

1350 E Main St
Suite C1
Bartow, FL 33830-5065
Phone (863) 646-7220

Other identifiers 1

IdentifierTypeStateIssuer
53709OtherFLFLORIDA BLUE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1265824064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST",
            "address_2": "SUITE C1",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305065",
            "telephone_number": "863-646-7220",
            "fax_number": "863-533-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST",
            "address_2": "SUITE C1",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305065",
            "telephone_number": "863-646-7220",
            "fax_number": "863-533-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANIVARA UMESH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "UMESH",
        "authorized_official_first_name": "JANIVARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-646-7220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0041112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "53709",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.