Individual provider Active NPI

Chandresh Duggal, MD

  • Interventional Cardiology Physician
  • Orlando, FL
National Provider Identifier
1437110947
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME65215 Issued in FL
Practice address
1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916
Phone
(407) 738-4200
Fax
(407) 445-0321
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0065215 FL
Interventional Cardiology Physician 207RI0011X ME65215 FL Primary

Addresses

Primary practice location

1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916

Mailing address

1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916
Phone (407) 738-4200

Other identifiers 2

IdentifierTypeStateIssuer
250296800MedicaidFL
ME65215OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000733 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7810974078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0065215FLMDCardiovascular Disease Physician
ME65215FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Cardiovascular Disease CurrentSince Nov 21, 2010 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 21, 2010 Accepting new patients
Mid-Florida Cardiology Specialists Cardiovascular Disease Current Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince Jul 1, 2023 Accepting new patients
Cardiovascular Institute of Central Florida, LLC Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients

Locations

1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891

805 Oakley Seaver Dr
Ste A
Clermont, FL 34711
Phone (407) 652-6000

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

1711 Amazing Way
Ste 206
Ocoee, FL 34761

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

7148 Curry Ford Rd
Ste 200
Orlando, FL 32822
Phone (407) 273-1357

1717 S Orange Ave
Ste 105
Orlando, FL 32806

7301 Stonerock Cir
Ste 1
Orlando, FL 32819
Phone (352) 512-9139

2501 N Orange Ave
Ste 137
Orlando, FL 32804
Phone (407) 291-2440

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1723 Lucerne Ter
Ste 100
Orlando, FL 32806

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

77 Underwood St
Orlando, FL 32806
Phone (407) 649-6884

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: chandresh.duggal.1@29679.direct.athenahealth.com
  • Direct secure messaging: cduggal25139@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1437110947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 LUCERNE TER STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062916",
            "telephone_number": "407-738-4200",
            "fax_number": "407-445-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 LUCERNE TER STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062916",
            "telephone_number": "407-738-4200",
            "fax_number": "407-445-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAL",
        "first_name": "CHANDRESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0065215",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME65215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250296800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME65215",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.