Individual provider Active NPI

Sreenivas P Vangara, MD

  • Gastroenterology Physician
  • New Port Richey, FL
National Provider Identifier
1497755771
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0073512 Issued in FL
Practice address
5515 Gulf Dr
Ste B
New Port Richey, FL 34652-4033
Phone
(727) 848-3995
Fax
(727) 843-9400
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0073512 FL Primary

Addresses

Primary practice location

5515 Gulf Dr
Ste B
New Port Richey, FL 34652-4033

Mailing address

5515 Gulf Dr
Ste B
New Port Richey, FL 34652-4033
Phone (727) 848-3995

Other identifiers 8

IdentifierTypeStateIssuer
10284201OtherCITRUS
207438OtherAMERIGROUP
244209OtherAVMED
29-87441OtherUHC
22749OtherWELLCARE
253520300MedicaidFL
42633OtherBCBS
5319635OtherAETNA

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
I20081215000449 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 3173548351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5515 Gulf Dr
B
New Port Richey, FL 34652-4033
Phone (727) 848-3995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy117
Upper gastrointestinal (GI) endoscopy for acid reflux107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0073512FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sreenivas P Vangara MD PA Gastroenterology CurrentSince Jan 1, 2008 Accepting new patients
Advanced Gastroenterology Associates LLC Gastroenterology Past Accepting new patients
The New Port Richey FL Multi Specialty ASC LLC PastSince Oct 1, 2007 Accepting new patients
Trustees of Mease Hospital Inc Past Accepting new patients
Dearborn Dreams Anesthesia LLC PastSince Mar 1, 2010 Accepting new patients

Locations

5515 Gulf Dr
Ste B
New Prt Rchy, FL 34652
Phone (727) 843-9200

Networks

  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 5

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1497755771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 GULF DR",
            "address_2": "STE B",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524033",
            "telephone_number": "727-848-3995",
            "fax_number": "727-843-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 GULF DR",
            "address_2": "STE B",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524033",
            "telephone_number": "727-848-3995",
            "fax_number": "727-843-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGARA",
        "first_name": "SREENIVAS",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0073512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS",
            "identifier": "10284201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "207438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "244209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "29-87441",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "22749",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253520300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "42633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5319635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.