Phimagham Sriramulu Premkanth, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME89352 Issued in FL

Practice address

1265 E Main St
Bartow, FL 33830-5006

Phone

(863) 534-3737

Fax

(863) 533-6323

NPI assigned

Jul 20, 2006

Last updated

Feb 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHDDCA
• FHIR API: https://fhir4.healow.com/fhir/r4/DHDDCA/Endpoint/DHDDCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Polk Pediatrics

  • Pediatrics Physician
  • Bartow, FL
  • NPI 1376689711
  NPD (past)
• Union Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1336163781
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1427078948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 E MAIN ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305006",
            "telephone_number": "863-534-3737",
            "fax_number": "863-533-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E MAIN ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305006",
            "telephone_number": "863-534-3737",
            "fax_number": "863-533-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREMKANTH",
        "first_name": "PHIMAGHAM",
        "middle_name": "SRIRAMULU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME89352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019643500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Porterfield, LMHC
• Jean Powell, ARNP
• Kandyce Powell
• Premier Health & Wellness Center of Central Florida LLC
• Premier Women's Care OB/GYN PLLC
• Prendiville DDS PLLC
• Mary Teresa Gunning Prendiville, D.D.S.
• Chad Price
• Joshua C Price, LPN
• Progressive Orthodontics, PLLC

• Pediatrics Physician in Bartow, FL
• Providers in Bartow, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.