Individual provider Active NPI

Udayashree Nune, MD

  • Family Medicine Physician
  • Clewiston, FL
National Provider Identifier
1295729523
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100105 Issued in FL
Practice address
500 W Sagamore Ave
Clewiston, FL 33440-3514
Phone
(863) 902-3032
Fax
(863) 983-6655
NPI assigned
Sep 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME100105 FL Primary

Addresses

Primary practice location

500 W Sagamore Ave
Clewiston, FL 33440-3514

Mailing address

500 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 902-3032

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080110000088 FL Practitioner - Family Practice 7810077229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Hendry County Hospital AuthorityGroup PAC ID 8022912435, 17 clinicians

Practice addresses (Care Compare)

500 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 983-3434

524 W Sagamore Ave
Clewiston, FL 33440-3514

530 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 902-3069

532 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 902-3026

540 W Sagamore Ave
Hendry Regional Specialty Group
Clewiston, FL 33440-3514
Phone (863) 983-5026

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendry County Hospital Authority CurrentSince Nov 1, 2007 Accepting new patients
Hendry County Hospital Authority Current Accepting new patients
Hendry County Hospital Authority CurrentSince Nov 1, 2007 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Hendry County Hospital Authority Past Accepting new patients
Hendry County Hospital Authority Past Accepting new patients
Conemaugh Health Initiatives Family Medicine Past Accepting new patients

Locations

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

500 W Sagamore Ave
Ste A
Clewiston, FL 33440

500 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3032

450 S Main St
Ste 1
Labelle, FL 33935
Phone (863) 675-2356

Organizations & group practices 7

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1295729523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SAGAMORE AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403514",
            "telephone_number": "863-902-3032",
            "fax_number": "814-535-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W SAGAMORE AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403514",
            "telephone_number": "863-902-3032",
            "fax_number": "863-983-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNE",
        "first_name": "UDAYASHREE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clewiston, FL

Sources for this page

Verify at the official NPI Registry.