Individual provider Active NPI

Prita S Madkaiker, MD

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1508832361
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME81136 Issued in FL
Practice address
3685 Crown Point Court
Jacksonville, FL 32257
Phone
(904) 292-4129
Fax
(904) 268-3293
NPI assigned
Feb 23, 2006
Last updated
Nov 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME81136 FL Primary

Addresses

Primary practice location

3685 Crown Point Court
Jacksonville, FL 32257

Mailing address

P O Box 24330
Jacksonville, FL 32241-4330
Phone (904) 292-4129

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
I20090319000391 FL Practitioner - Internal Medicine 4688617772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisat PAGroup PAC ID 0345283271, 2 clinicians

Practice addresses (Care Compare)

3685 Crown Point CT
Jacksonville, FL 32257-5967
Phone (904) 880-8840

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisat PA CurrentSince Feb 20, 2009 Accepting new patients

Locations

3685 Crown Point Ct
Jacksonville, FL 32257
Phone (904) 292-4129

3685 Crown Point Ct
Ste 2
Jacksonville, FL 32257
Phone (904) 880-8840

3685 Crown Point Ct
Ste 3
Jacksonville, FL 32257
Phone (904) 880-8840

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1508832361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 24330",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322414330",
            "telephone_number": "904-292-4129",
            "fax_number": "904-268-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 CROWN POINT COURT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "904-292-4129",
            "fax_number": "904-268-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADKAIKER",
        "first_name": "PRITA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.