Individual provider Active NPI

Deepak K Naidu, M.D.

  • Plastic Surgery Physician
  • Tampa, FL
National Provider Identifier
1497707947
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME110564 Issued in FL
Practice address
201 E Kennedy Blvd
410
Tampa, FL 33602-5181
Phone
(813) 434-1620
Fax
(813) 434-1621
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME110564 FL Primary

Addresses

Primary practice location

201 E Kennedy Blvd
410
Tampa, FL 33602-5181

Mailing address

201 E Kennedy Blvd
410
Tampa, FL 33602-5181
Phone (813) 434-1620

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
I20110301000327 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 0143250308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Emory University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

601 7TH St S
St Petersburg, FL 33701-4708
Phone (727) 893-6234

Hospital & facility affiliations

  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Deepak Naidu MD, PA Current Accepting new patients
Ohi West Medical Group, LLC CurrentSince May 15, 2021 Accepting new patients
Ohi West Medical Group, LLC CurrentSince May 15, 2021 Accepting new patients

Locations

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

601 7th St S
St Petersburg, FL 33701
Phone (727) 572-0900

725 6th Ave S
Ste 4200
St Petersburg, FL 33701
Phone (727) 553-7140

201 E Kennedy Blvd
Ste 410
Tampa, FL 33602
Phone (813) 434-1620

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: dnaidu189497@orlandohealth.medalliesdirect.net

Organizations & group practices 4

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 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1497707947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E KENNEDY BLVD",
            "address_2": "410",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025181",
            "telephone_number": "813-434-1620",
            "fax_number": "813-434-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E KENNEDY BLVD",
            "address_2": "410",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025181",
            "telephone_number": "813-434-1620",
            "fax_number": "813-434-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDU",
        "first_name": "DEEPAK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME110564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.