Organization Active NPI

Himanshu Chandarana MD PA

  • Pulmonary Disease Physician
  • St Petersburg, FL
National Provider Identifier
1497857346
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0044422 Issued in FL
Legal business name
HIMANSHU CHANDARANA MD PA
Practice address
5800 49TH St N Ste 208
St Petersburg, FL 33709-2100
Phone
(727) 345-8179
Fax
(727) 345-7484
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Himanshu Chandarana, MDNPI 1114915444
Title
Physician/Owner
Phone
(727) 345-8179

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X ME0044422 FL
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X ME0044422 FL Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X ME0044422 FL

Addresses

Primary practice location

5800 49TH St N Ste 208
St Petersburg, FL 33709-2100

Mailing address

5800 49TH St N Ste 208
St Petersburg, FL 33709-2100
Phone (727) 892-2928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000076 FL Part B Supplier - Clinic/Group Practice 9931294204 Receives reassigned benefits from 7 practitioners
Practice locations: Saint Petersburg, FL; St Petersburg, FL

National Provider Directory

National Provider Directory
Tax ID family
Himanshu Chandarana MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6675 38th Ave N
Ste 101
St Petersburg, FL 33710
Phone (727) 345-8179

3380 66th St N
St Petersburg, FL 33710
Phone (727) 258-4886

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1497857346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE 208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092100",
            "telephone_number": "727-892-2928",
            "fax_number": "727-345-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE 208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092100",
            "telephone_number": "727-345-8179",
            "fax_number": "727-345-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIMANSHU CHANDARANA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-11-09",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANDARANA",
        "authorized_official_first_name": "HIMANSHU",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "727-345-8179",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME0044422",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0044422",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME0044422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.