Individual provider Active NPI

Ajit Haldipur Janardhan, MD, PHD

  • Clinical Cardiac Electrophysiology Physician
  • Titusville, FL
National Provider Identifier
1518172279
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME122917 Issued in FL
Practice address
860 Century Medical Dr
Titusville, FL 32796-2141
Phone
(321) 268-6111
Fax
(386) 263-2996
NPI assigned
May 14, 2007
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME122917 FL Primary

Addresses

Primary practice location

860 Century Medical Dr
Titusville, FL 32796-2141

Mailing address

860 Century Medical Dr
Titusville, FL 32796-2141
Phone (321) 265-4629

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
I20150305001731 FL Practitioner - Cardiac Electrophysiology 2769617885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Cardiology Care PAGroup PAC ID 9638244635, 7 clinicians

Practice addresses (Care Compare)

1240 W Granada Blvd
2ND Floor
Ormond Beach, FL 32174-5915
Phone (386) 672-1023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

Merit-based Incentive Payment System (MIPS)

Final score
92.29 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Okaloosa Cardiology P a CurrentSince Jul 1, 2017 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Sep 1, 2022 Accepting new patients
Complete Cardiology Care, P.a. Clinical Cardiac Electrophysiology CurrentSince Sep 1, 2024 Accepting new patients
Atlantic Cardiovascular & Thoracic Surgeons, LLC Current Accepting new patients

Locations

129 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 682-7212

921 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 388-4333

1240 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 898-0220

1240 W Granada Blvd
Ste 2
Ormond Beach, FL 32174
Phone (386) 424-8440

5005 Port St John Pkwy
Ste 2100
Port St John, FL 32927
Phone (321) 433-2247

4420 S Hopkins Ave
Titusville, FL 32780
Phone (321) 264-8644

860 Century Medical Dr
Titusville, FL 32796
Phone (321) 267-8260

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ajitjanardhan@ocfl.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0009543

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1518172279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962141",
            "telephone_number": "321-265-4629",
            "fax_number": "850-682-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962141",
            "telephone_number": "321-268-6111",
            "fax_number": "386-263-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANARDHAN",
        "first_name": "AJIT",
        "middle_name": "HALDIPUR",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME122917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.