Individual provider Active NPI

Rajnikant M Kadiwar, M.D., F.A.C.P.

  • Internal Medicine Physician
  • Lakeland, FL
National Provider Identifier
1346247863
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0067835 Issued in FL
Practice address
5458 Highlands Vista Cir
Lakeland, FL 33812-5215
Phone
(863) 409-3025
NPI assigned
Jun 30, 2005
Reactivated
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0067835 FL Primary

Addresses

Primary practice location

5458 Highlands Vista Cir
Lakeland, FL 33812-5215

Mailing address

5458 Highlands Vista Cir
Lakeland, FL 33812-5215
Phone (863) 409-3025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0067835FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1346247863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 HIGHLANDS VISTA CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338125215",
            "telephone_number": "863-409-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 HIGHLANDS VISTA CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338125215",
            "telephone_number": "863-409-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIWAR",
        "first_name": "RAJNIKANT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0067835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.