Individual provider Active NPI

Praveen Kanaparti, M.D.

  • Cardiovascular Disease Physician
  • Longwood, FL
National Provider Identifier
1437150349
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME94964 Issued in FL
Practice address
521 W State Road 434 Ste 308
Longwood, FL 32750-5166
Phone
(321) 841-6444
Fax
(321) 842-1955
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 ME94964 FL Primary
Nuclear Cardiology Physician 207UN0901X ME94964 FL

Addresses

Primary practice location

521 W State Road 434 Ste 308
Longwood, FL 32750-5166

Mailing address

521 W State Road 434 Ste 308
Longwood, FL 32750-5166
Phone (321) 841-6444

Other practice location 1

14534 Old Saint Augustine Rd Ste 3420
Jacksonville, FL 32258-2616
Phone (904) 493-8001

Other identifiers 2

IdentifierTypeStateIssuer
P00316397OtherFLRAILROAD MEDICARE
275668400MedicaidFL

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
I20060302000609 FL Practitioner - Cardiovascular Disease (Cardiology) 6709842248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

521 W State Rd
434 Suite 307 and Suite 308
Longwood, FL 32750-5166
Phone (321) 841-6444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Ecg Associates of Jacksonville P a CurrentSince Dec 31, 2018 Accepting new patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
Orlando Health Medical Group Inc Cardiovascular Disease CurrentSince Jan 1, 2025 Accepting new patients
Southern Heart Group Cardiovascular Disease Past Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients

Locations

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

14534 Old Saint Augustine Rd
Ste 3420
Jacksonville, FL 32258
Phone (904) 493-8001

3225 University Blvd S
Ste 104
Jacksonville, FL 32216
Phone (904) 399-1171

820 Prudential Dr
Ste 112
Jacksonville, FL 32207
Phone (904) 396-5996

14546 Old St Augustine Rd
Ste 201
Jacksonville, FL 32258
Phone (904) 493-8001

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

521 W State Road 434
Ste 307
Longwood, FL 32750

521 W State Road 434
Ste 308
Longwood, FL 32750
Phone (321) 841-3200

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

1000 W Broadway St
Ste 120
Oviedo, FL 32765

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

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 3

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1437150349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W STATE ROAD 434 STE 308",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505166",
            "telephone_number": "321-841-6444",
            "fax_number": "321-842-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W STATE ROAD 434 STE 308",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505166",
            "telephone_number": "321-841-6444",
            "fax_number": "321-842-1955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14534 Old Saint Augustine Rd Ste 3420",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322582616",
            "country_code": "US",
            "telephone_number": "904-493-8001",
            "fax_number": "904-338-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANAPARTI",
        "first_name": "PRAVEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME94964",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME94964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00316397",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275668400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.