Individual provider Active NPI

Suvarchala Devi Dara, MD

  • Cardiovascular Disease Physician
  • Orlando, FL
National Provider Identifier
1477764900
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME105611 Issued in VA
Practice address
1111 S Semoran Blvd Ste a
Orlando, FL 32807-1480
Phone
(407) 480-4445
Fax
(407) 480-4446
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0101238389 VA
Cardiovascular Disease Physician 207RC0000X ME105611 VA Primary

Addresses

Primary practice location

1111 S Semoran Blvd Ste a
Orlando, FL 32807-1480

Mailing address

PO Box 781729
Orlando, FL 32878-1729
Phone (407) 480-4445

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
I20100506000541 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6305867508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Institute of Orlando, PLLCGroup PAC ID 5991833352, 3 clinicians

Practice addresses (Care Compare)

1111 S Semoran Blvd
Suite a
Orlando, FL 32807-1480
Phone (407) 480-4445

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105611VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of Orlando, PLLC Cardiovascular Disease CurrentSince Jan 4, 2010 Accepting new patients
Cvio Diagnostics Past Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

812 W Oak St
Kissimmee, FL 34741
Phone (407) 201-3686

1111 S Semoran Blvd
Ste A
Orlando, FL 32807
Phone (321) 695-3200

5540 E Grant St
Ste B
Orlando, FL 32822
Phone (407) 747-1222

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 3

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 2

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1477764900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781729",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328781729",
            "telephone_number": "407-480-4445",
            "fax_number": "407-480-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S SEMORAN BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071480",
            "telephone_number": "407-480-4445",
            "fax_number": "407-480-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARA",
        "first_name": "SUVARCHALA",
        "middle_name": "DEVI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0101238389",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "ME105611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.