NPIMap

Organization Active NPI

V.P. Nagarajan, M.D.

  • Urology Physician
  • Brooksville, FL
National Provider Identifier
1366629628
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME30767 Issued in FL
Legal business name
V.P. NAGARAJAN, M.D.
Practice address
12202 Cortez Blvd
Brooksville, FL 34613-2630
Phone
(352) 592-7779
Fax
(352) 592-7677
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Mrs. Diane R Slavinski
Title
Office Manager
Phone
(352) 592-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME30767 FL Primary

Addresses

Primary practice location

12202 Cortez Blvd
Brooksville, FL 34613-2630

Mailing address

12202 Cortez Blvd
Brooksville, FL 34613-2631
Phone (352) 592-7779

Other identifiers 3

IdentifierTypeStateIssuer
069305700MedicaidFL
340001288OtherRAIL ROAD MEDICARE
26072OtherFLBC/BS FL

National Provider Directory

National Provider Directory

Locations

12212 Cortez Blvd
Brooksville, FL 34613
Phone (352) 683-0007

10441 Quality Dr
Ste 307
Spring Hill, FL 34609
Phone (352) 683-9956

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1366629628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12202 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132631",
            "telephone_number": "352-592-7779",
            "fax_number": "352-592-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12202 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132630",
            "telephone_number": "352-592-7779",
            "fax_number": "352-592-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.P. NAGARAJAN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "SLAVINSKI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-592-7779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME30767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069305700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "340001288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FL",
            "identifier": "26072",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.