Active NPI
Udipi Ramachandra Shettigar
- Cardiovascular Disease Physician
- Bay Pines, FL
National Provider Identifier
1376578401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME 78879
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 78879 | FL | MD | Cardiovascular 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.