Individual provider Active NPI

Sundeep Mediratta, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Clermont, FL
National Provider Identifier
1366403867
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
ME85297 Issued in FL
Practice address
805 Oakley Seaver Dr Ste a
Clermont, FL 34711-1968
Phone
(407) 738-4200
Fax
(407) 705-2540
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME85297 FL
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X ME85297 FL Primary

Addresses

Primary practice location

805 Oakley Seaver Dr Ste a
Clermont, FL 34711-1968

Mailing address

1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916
Phone (407) 738-4200

Other practice location 1

1711 Amazing Way Ste 206&207
Ocoee, FL 34761-3488
Phone (407) 738-4200

Other identifiers 2

IdentifierTypeStateIssuer
265507100MedicaidFL
ME85297OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031217000878 FL Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4587561592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of Central Florida, LLC Cardiovascular Disease CurrentSince May 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 21, 2010 Accepting new patients
Mid-Florida Cardiology Specialists Cardiovascular Disease Current Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince May 1, 2023 Accepting new patients
Orlando Health Medical Group Inc Cardiovascular Disease CurrentSince Nov 21, 2010 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

2080 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 241-7275

1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891

805 Oakley Seaver Dr
Ste A
Clermont, FL 34711
Phone (407) 652-6000

795 Primera Blvd
Ste 1021
Lake Mary, FL 32746

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

1711 Amazing Way
Ste 206207
Ocoee, FL 34761

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

7148 Curry Ford Rd
Ste 200
Orlando, FL 32822
Phone (407) 273-1357

1717 S Orange Ave
Ste 105
Orlando, FL 32806

7301 Stonerock Cir
Ste 1
Orlando, FL 32819
Phone (352) 512-9139

6424 Alexandra Louise Dr
Ste 480
Orlando, FL 32827

2501 N Orange Ave
Ste 137
Orlando, FL 32804
Phone (407) 291-2440

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

1723 Lucerne Ter
Ste 100
Orlando, FL 32806

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: sundeep.mediratta.1@29679.direct.athenahealth.com
  • Direct secure messaging: smediratta25185@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1366403867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 LUCERNE TER STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062916",
            "telephone_number": "407-738-4200",
            "fax_number": "407-650-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 OAKLEY SEAVER DR STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111968",
            "telephone_number": "407-738-4200",
            "fax_number": "407-705-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 Amazing Way Ste 206&207",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347613488",
            "country_code": "US",
            "telephone_number": "407-738-4200",
            "fax_number": "407-705-2540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDIRATTA",
        "first_name": "SUNDEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME85297",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "FL",
            "license": "ME85297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265507100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME85297",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.