Individual provider Active NPI

Bindu Ann Kakkanatt, MD

  • Pediatrics Physician
  • Ocoee, FL
National Provider Identifier
1346358355
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 92430 Issued in FL
Practice address
1551 Boren Dr Ste a
Ocoee, FL 34761-2966
Phone
(407) 395-2037
Fax
(407) 395-2083
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME 92430 FL Primary

Addresses

Primary practice location

1551 Boren Dr Ste a
Ocoee, FL 34761-2966

Mailing address

1551 Boren Dr Ste a
Ocoee, FL 34761-2966
Phone (407) 395-2037

Other practice location 1

1551 Boren Dr
Ocoee, FL 34761-2966
Phone (407) 877-8300

Other identifiers 1

IdentifierTypeStateIssuer
273859700MedicaidFL

Other names 1

  • Dr. Bindu Ann Parekattil Former name

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
ME 92430FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocoee Pediatrics Pediatrics CurrentSince Nov 6, 2022 Accepting new patients
Florida Hospital Medical Group Inc Pediatrics Past Accepting new patients
Collier Health Services Inc Past Accepting new patients

Locations

1551 Boren Dr
Ste A
Ocoee, FL 34761
Phone (407) 395-2037

1551 Boren Dr
Ocoee, FL 34761
Phone (407) 223-1298

Interoperability endpoints

  • Direct secure messaging: baparekattil@ocoeepeds.opdirect.net

Organizations & group practices 3

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1346358355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BOREN DR STE A",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612966",
            "telephone_number": "407-395-2037",
            "fax_number": "407-395-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BOREN DR STE A",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612966",
            "telephone_number": "407-395-2037",
            "fax_number": "407-395-2083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Boren Dr",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347612966",
            "country_code": "US",
            "telephone_number": "407-877-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKKANATT",
        "first_name": "BINDU",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 92430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273859700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BINDU",
            "last_name": "PAREKATTIL",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.