Orlando Primary Care PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME76077 Issued in FL

Legal business name

ORLANDO PRIMARY CARE PA

Practice address

6200 Silver Star Rd
Orlando, FL 32808-4245

Phone

(407) 298-0912

Fax

(407) 298-1750

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Venkateswara R Nandam, M.D.NPI 1669444626

Title

President

Phone

(407) 298-0912

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venkateswara R Nandam, M.D.

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669444626
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357430400000",
    "number": "1336328012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SILVER STAR RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328084245",
            "telephone_number": "407-298-0912",
            "fax_number": "407-298-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SILVER STAR RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328084245",
            "telephone_number": "407-298-0912",
            "fax_number": "407-298-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2013-01-06",
        "status": "A",
        "authorized_official_last_name": "NANDAM",
        "authorized_official_first_name": "VENKATESWARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-298-0912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME76077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255449600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orlando Plastic Surgery Institute, PA
• Orlando Ppec LLC (Orlando PPEC)
• Orlando Ppec LLC (Orlando PPEC)
• Orlando Premier Care LLC
• Orlando Premier Psychiatry LLC
• Orlando Primary Medicine, LLC
• Orlando Procare Pharmacy, Inc.
• Orlando Psych Group, P.a.
• Orlando Psychiatric Associates Inc. (OPA Behavioral Health Inc.)
• Orlando Psychiatric Care LLC

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, 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 Jan 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.