Active NPI
I V S Nath MD FRCP PA
- Gastroenterology Physician
- Pinellas Park, FL
National Provider Identifier
1508199969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME47362
- Legal business name
- I V S NATH MD FRCP PA
- Practice address
- 6217 66TH St
Pinellas Park, FL 33781-5025 - Phone
- (727) 546-1680
- Fax
- (727) 546-9746
- NPI assigned
- Sep 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iyyuni V S Nath, MD
- Title
- Owner
- Phone
- (727) 546-1680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME47362 | FL | Primary |
Addresses
Primary practice location
6217 66TH St
Pinellas Park, FL 33781-5025
Mailing address
PO Box 25233
Tampa, FL 33622-5233
Phone (727) 823-2188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065241500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6217 66th St N
Pinellas Park, FL 33781
Phone (727) 546-1680
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Pinellas Park, FL
- NPI 1588697080
-
- Endocrinology, Diabetes & Metabolism Physician
- Tampa, FL
- NPI 1982263760
-
- Acute Care Nurse Practitioner
- Brooklyn, NY
- NPI 1023533197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291939200000",
"number": "1508199969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25233",
"city": "TAMPA",
"state": "FL",
"postal_code": "336225233",
"telephone_number": "727-823-2188",
"fax_number": "727-828-0723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6217 66TH ST",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815025",
"telephone_number": "727-546-1680",
"fax_number": "727-546-9746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I V S NATH MD FRCP PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-16",
"last_updated": "2010-12-10",
"status": "A",
"authorized_official_last_name": "NATH",
"authorized_official_first_name": "IYYUNI",
"authorized_official_middle_name": "V S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-546-1680",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME47362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065241500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.