Active NPI
Amulya Rajagopal
- Nephrology Physician
- Clearwater, FL
National Provider Identifier
1285294355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME169051
- Practice address
- 300 Pinellas St
Clearwater, FL 33756-3804 - Phone
- (734) 718-0680
- NPI assigned
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME169051 | FL | Primary |
Addresses
Primary practice location
300 Pinellas St
Clearwater, FL 33756-3804
Mailing address
11249 Blacksmith Dr
Tampa, FL 33626-2675
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919001900 | FL | Practitioner - Nephrology | 6204168651 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Wayne State University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1055 S Fort Harrison Ave
Clearwater, FL 33756-3905
Phone (727) 442-6245
Hospital & facility affiliations
- Fresenius Kidney Care-Dunedin
- Rai Care Centers - Clearwater
- Morton Plant Hospital
- Mease Countryside Hospital
- HCA Florida Largo Hospital
- Mease Dunedin Hospital
- St Josephs Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 41.84 of 100
- Quality
- 43.55
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 76.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME169051 | FL | MD | Nephrology Physician |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Kidney Partners, LLP | Nephrology | Current | Accepting new patients |
Locations
1055 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 442-6245
1121 Overcash Dr
Dunedin, FL 34698
Phone (727) 733-1112
1121 Overcash Dr
Unit B
Dunedin, FL 34698
Phone (727) 223-5991
14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- arajagopal449726@direct.hfhs.org
- arajagopal77062@direct.acumenmd.com
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 and National Provider Directory roles.
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dunedin, FL
- NPI 1982125803
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Clearwater, FL
- NPI 1437168440
Dialysis facility
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1285294355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11249 BLACKSMITH DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336262675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PINELLAS ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563804",
"telephone_number": "734-718-0680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAGOPAL",
"first_name": "AMULYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME169051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.
- 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.