Active NPI
Sujatha Kaki, MD
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1407825375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME94340
- Practice address
- 14015 Egret Tower Drive
Orlando, FL 32837-6197 - Phone
- (407) 447-7100
- Fax
- (407) 447-6100
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME94340 | FL | Primary |
Addresses
Primary practice location
14015 Egret Tower Drive
Orlando, FL 32837-6197
Mailing address
14015 Egret Tower Drive
Orlando, FL 32837-6197
Phone (407) 447-7100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1391688 | Other | GHI | |
| 4130558 | Other | FL | AETNA |
| 274203900 | Medicaid | FL | |
| 28846 | Other | FL | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nazim Merchant MD, PA | Pediatrics | Current | Accepting new patients |
| Nazim Merchant MD PA | Pediatrics | Current | Accepting new patients |
| Florida Em-I Medical Services, PA | Past | Accepting new patients |
Locations
14015 Egret Tower Dr
Orlando, FL 32837
Phone (407) 447-7100
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1083046049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1407825375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14015 EGRET TOWER DRIVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376197",
"telephone_number": "407-447-7100",
"fax_number": "407-447-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015 EGRET TOWER DRIVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376197",
"telephone_number": "407-447-7100",
"fax_number": "407-447-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKI",
"first_name": "SUJATHA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME94340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1391688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4130558",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274203900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "28846",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.