Organization Active NPI

Udita Jahagirdar MD PA

  • Obstetrics & Gynecology Physician
  • Lake Mary, FL
National Provider Identifier
1447556881
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
UDITA JAHAGIRDAR MD PA
Practice address
101 N 8TH St
Ste1001
Lake Mary, FL 32746-3101
Phone
(407) 324-8589
Fax
(407) 321-8820
NPI assigned
Feb 2, 2011
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Udita JahagirdarNPI 1750350617
Title
President
Phone
(407) 324-8589

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

101 N 8TH St
Ste1001
Lake Mary, FL 32746-3101

Mailing address

101 N 8TH St
Ste1001
Lake Mary, FL 32746-3101
Phone (407) 324-8589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000361 FL Part B Supplier - Clinic/Group Practice 2769662253 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Mary, 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
10D0273578Udita Jahagirdar MD PA101 Eighth Street, Lake Mary, FL 32746Certificate of waiverJun 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1447556881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 8TH ST",
            "address_2": "STE1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463101",
            "telephone_number": "407-324-8589",
            "fax_number": "407-321-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 8TH ST",
            "address_2": "STE1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463101",
            "telephone_number": "407-324-8589",
            "fax_number": "407-321-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDITA JAHAGIRDAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "JAHAGIRDAR",
        "authorized_official_first_name": "UDITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-324-8589"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.