Active NPI
Janivara Umesh MD
- Internal Medicine Physician
- Bartow, FL
National Provider Identifier
1265824064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0041112
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53709 | Other | FL | FLORIDA BLUE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Kissimmee, FL
- NPI 1851762363
-
- Nurse Practitioner
- Sebring, FL
- NPI 1083066070
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.