Individual provider Active NPI

Udipi Ramachandra Shettigar

  • Cardiovascular Disease Physician
  • Bay Pines, FL
National Provider Identifier
1376578401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 78879 Issued in FL
Practice address
Bay Pines VA Health Care System Cardiology Section 111D
10000 Bay Pines Blvd
Bay Pines, FL 33744
Phone
(727) 398-6661
Fax
(727) 398-9443
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 78879 FL Primary

Addresses

Primary practice location

Bay Pines VA Health Care System Cardiology Section 111D
10000 Bay Pines Blvd
Bay Pines, FL 33744

Mailing address

13344 Pine Bark CT
Largo, FL 33774-5437
Phone (727) 595-7330

Other names 1

  • Udipi Shettigar Other 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ME 78879FLMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376578401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13344 PINE BARK CT",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337745437",
            "telephone_number": "727-595-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAY PINES VA HEALTH CARE SYSTEM CARDIOLOGY SECTION 111D",
            "address_2": "10000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661",
            "fax_number": "727-398-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTIGAR",
        "first_name": "UDIPI",
        "middle_name": "RAMACHANDRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 78879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UDIPI",
            "last_name": "SHETTIGAR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bay Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.