Active NPI
Nalita D Rajkumar, PA
- Physician Assistant
- Kissimmee, FL
National Provider Identifier
1376965525
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective May 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107639
- Practice address
- 222 Broadway
Suite 301
Kissimmee, FL 34741-5781 - Phone
- (407) 846-8180
- Fax
- (407) 347-4857
- NPI assigned
- Jan 7, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9107639 | FL | Primary |
Addresses
Primary practice location
222 Broadway
Suite 301
Kissimmee, FL 34741-5781
Mailing address
222 Broadway Unit 301
Kissimmee, FL 34741-5767
Phone (407) 846-8180
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394841600000",
"number": "1376965525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 BROADWAY UNIT 301",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415767",
"telephone_number": "407-846-8180",
"fax_number": "407-347-4858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 BROADWAY",
"address_2": "SUITE 301",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415781",
"telephone_number": "407-846-8180",
"fax_number": "407-347-4857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJKUMAR",
"first_name": "NALITA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-07",
"last_updated": "2014-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.