NPIMap

Organization Active NPI

Advanced Care Hospitalists PL

  • Hospitalist Physician
  • Lakeland, FL
National Provider Identifier
1457389587
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ADVANCED CARE HOSPITALISTS PL
Practice address
4315 Highland Park Blvd Ste a
Lakeland, FL 33813-1639
Phone
(863) 816-5884
Fax
(863) 940-4856
NPI assigned
Jun 29, 2006
Last updated
Apr 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Dr. Gulab Sher, MDNPI 1780617977
Title
Owner
Phone
(863) 816-5884

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
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

4315 Highland Park Blvd Ste a
Lakeland, FL 33813-1639

Mailing address

PO Box 919424
Orlando, FL 32891-9424
Phone (863) 816-5884

Other identifiers 3

IdentifierTypeStateIssuer
277628600MedicaidFL
269384400MedicaidFL
1457389587OtherFLRUBY M. SRINIVASAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050422000853 FL Part B Supplier - Clinic/Group Practice 5092753632 Receives reassigned benefits from 103 practitioners
Practice locations: Lakeland, FL
O20170206000606 LA Part B Supplier - Clinic/Group Practice 5092753632 Receives reassigned benefits from 6 practitioners
Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 123

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.

View all 123

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1457389587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919424",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919424",
            "telephone_number": "863-816-5884",
            "fax_number": "863-940-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HIGHLAND PARK BLVD STE A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131639",
            "telephone_number": "863-816-5884",
            "fax_number": "863-940-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE HOSPITALISTS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "SHER",
        "authorized_official_first_name": "GULAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-816-5884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277628600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269384400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RUBY M. SRINIVASAN",
            "identifier": "1457389587",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.