Mariananda P Kumar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0055461 Issued in FL

Practice address

3400 N Lecanto Hwy
Suite a
Beverly Hills, FL 34465

Phone

(352) 746-2227

Fax

(352) 746-3587

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Florida Medical Associates, PA

  dba Nature Coast Family Medical Clinic

  • Rural Health Clinic/Center
  • Beverly Hills, FL
  • NPI 1356489314
  Authorized official Same address or phone

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1316049679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N LECANTO HWY",
            "address_2": "SUITE A",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "34465",
            "telephone_number": "352-746-2227",
            "fax_number": "352-746-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N LECANTO HWY",
            "address_2": "SUITE A",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "34465",
            "telephone_number": "352-746-2227",
            "fax_number": "352-746-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MARIANANDA",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0055461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660076000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "09649",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052192127",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "110162127",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CN2848",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Klansky, PA-C
• Natasha M. Kline, PA
• Julie Elizabeth Krinsky, APRN
• Nisha Bala Krishnan, DPM
• Charles P Kronenthal Jr., PA-C
• Swarooparani P Kumar, ARNP
• Nicholas Labarge
• Erika Ann Lazaro
• Judith Ann Lewis, LMT,MMP
• Raphael C Lewis, D.D.S

• Internal Medicine Physician in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.