Pattabhiraman Rajendran, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0044065 Issued in FL

Practice address

1507 W Reynolds St
Ste B
Plant City, FL 33563-4702

Phone

(813) 752-1053

Fax

(813) 754-6739

NPI assigned

Jul 8, 2006

Last updated

Dec 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Florida Baptist Hospital IncGroup PAC ID 9537188289, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Florida Baptist Hospital Hospital, Plant City, FL, CCN 100132
• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Florida Baptist Hospital Inc

  dba FOCUS Women's Group

  • Obstetrics & Gynecology Physician
  • Plant City, FL
  • NPI 1265481238
  Medicare reassignment Care Compare group NPD
• Devarakonda & Rajendran MD S

  • Specialist
  • Plant City, FL
  • NPI 1952334443
  Medicare reassignment NPD
• Plant City Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • Plant City, FL
  • NPI 1861746943
  Authorized official Same address or phone

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

• South Florida Baptist Hospital Inc

  dba South Florida Baptist Hospital

  • General Acute Care Hospital
  • Plant City, FL
  • NPI 1548205883
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1467485953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W REYNOLDS ST",
            "address_2": "STE B",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634702",
            "telephone_number": "813-752-1053",
            "fax_number": "813-754-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W REYNOLDS ST",
            "address_2": "STE B",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634702",
            "telephone_number": "813-752-1053",
            "fax_number": "813-754-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJENDRAN",
        "first_name": "PATTABHIRAMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0044065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "204777",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069482700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110046858",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30704",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiology & Imaging Specialists of Lakeland
• Radiology & Imaging Specialists of Lakeland, PA
• Radiology & Imaging Specialists of Lakeland, PA (Plant City Imaging)
• Rainier Emergency Physicians LLC
• Rajendran Physician Group,Inc
• Steaven Javier Ramirez Flores, DC
• Geisel Ramos
• Sheena Ranade, MD
• Max F Rattes, MD
• Debbie Ray, LMT LICENSED MASSAGE

• Specialist in Plant City, FL
• Providers in Plant City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.