Organization Active NPI

Padala Family Practice, PLLC

  • Family Medicine Physician
  • Lecanto, FL
National Provider Identifier
1447505227
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PADALA FAMILY PRACTICE, PLLC
Practice address
2063 N Lecanto Hwy Ste 1
Lecanto, FL 34461-9675
Phone
(352) 436-4428
Fax
(352) 228-4903
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Lakshmi Narayana Padala, MDNPI 1053379735
Title
Owner
Phone
(352) 436-4428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2063 N Lecanto Hwy Ste 1
Lecanto, FL 34461-9675

Mailing address

2063 N Lecanto Hwy Ste 1
Lecanto, FL 34461-9675
Phone (352) 436-4428

Other identifiers 1

IdentifierTypeStateIssuer
14L2TOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000802 FL Part B Supplier - Clinic/Group Practice 2466608500 Receives reassigned benefits from 3 practitioners
Practice locations: Homosassa, FL; Inverness, FL; Lecanto, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2044059Padala Family Practice2063 N Lecanto Hwy #1 - Sunshine Plaza, Lecanto, FL 34461Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Padala Family Practice PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 SE 5th Ter
Ste 6
Crystal River, FL 34429
Phone (352) 436-4428

7773 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 436-4428

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1447505227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2063 N LECANTO HWY STE 1",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619675",
            "telephone_number": "352-436-4428",
            "fax_number": "352-228-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 N LECANTO HWY STE 1",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619675",
            "telephone_number": "352-436-4428",
            "fax_number": "352-228-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADALA FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "PADALA",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_middle_name": "NARAYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-436-4428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14L2T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.