Individual provider Active NPI

Indira Umamaheswaran, MD

  • Neurology Physician
  • Hudson, FL
National Provider Identifier
1295788180
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME92056 Issued in FL
Practice address
7539 Medical Dr
Hudson, FL 34667-6502
Phone
(727) 869-2115
Fax
(727) 863-6167
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME92056 FL Primary

Addresses

Primary practice location

7539 Medical Dr
Hudson, FL 34667-6502

Mailing address

7539 Medical Dr
Hudson, FL 34667-6502
Phone (727) 869-2115

Other identifiers 2

IdentifierTypeStateIssuer
275138100MedicaidFL
42042OtherFLBLUE CROSS BLUE SHIELD

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
I20060728000203 FL Practitioner - Neurology 4981617420 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David W. Malka MD, PA Neurology CurrentSince Aug 1, 2007 Accepting new patients

Locations

7539 Medical Dr
Hudson, FL 34667
Phone (727) 869-2115

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1295788180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7539 MEDICAL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676502",
            "telephone_number": "727-869-2115",
            "fax_number": "727-863-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7539 MEDICAL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676502",
            "telephone_number": "727-869-2115",
            "fax_number": "727-863-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAMAHESWARAN",
        "first_name": "INDIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME92056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275138100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42042",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.