Thiruvallur Ecchambadi Vallabhan, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME81358 Issued in FL

Practice address

929 N US Highway 441
Suite 201
Lady Lake, FL 32159-3001

Phone

(352) 750-2040

Fax

(352) 750-2060

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
• Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Merit-based Incentive Payment System (MIPS)

Final score

82.6 of 100Reported as individual

Quality

55.21

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4

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.

• Thiruvallur Vallabhan, MD, PA

  • Medical Specialty Clinic/Center
  • The Villages, FL
  • NPI 1972819894
  Medicare reassignment NPD Authorized official
• The Villages Health System LLC

  • General Practice Physician
  • The Villages, FL
  • NPI 1699012922
  Medicare reassignment NPD

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

• Leesburg Regional Medical Center Inc

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189

  Hospital

  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190
  Care Compare affiliation
• LRMC Urgent Care Center

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1598841389

  Hospital

  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518
  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1316992175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N US HIGHWAY 441",
            "address_2": "SUITE 201",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593001",
            "telephone_number": "352-750-2040",
            "fax_number": "352-750-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N US HIGHWAY 441",
            "address_2": "SUITE 201",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593001",
            "telephone_number": "352-750-2040",
            "fax_number": "352-750-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLABHAN",
        "first_name": "THIRUVALLUR",
        "middle_name": "ECCHAMBADI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME81358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anupama Upadya, MD
• USA Vascular Centers of Miami, PLLC
• USA Vein Clinics of Miami, LLC
• Trinetra Vaidya, MD
• Valencia Neurospina Center PA
• Milton C. Vanmeter, DMD
• Rebecca Vann, DNP, APRN, FNP-BC
• Derry Vansicklen, HAS
• Varendra Jamwant DPM
• Marivic Delos Reyes Villa, M.D.

• Cardiovascular Disease Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.

Verify at the official NPI Registry.