Individual provider Active NPI

Usha Somasundara Panicker, MD

  • Pediatrics Physician
  • New Port Richey, FL
National Provider Identifier
1538239736
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME86983 Issued in FL
Practice address
5341 Grand Blvd Ste 108
Richey Medical Center
New Port Richey, FL 34652-4011
Phone
(727) 849-2535
NPI assigned
Nov 8, 2006
Last updated
Oct 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME86983 FL Primary

Addresses

Primary practice location

5341 Grand Blvd Ste 108
Richey Medical Center
New Port Richey, FL 34652-4011

Mailing address

8698 Buttonwood LN
Pinellas Park, FL 33782-4319
Phone (727) 545-4966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME86983FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G. M. Ramappa, M.D., F.a.a.P., P.a. Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1538239736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8698 BUTTONWOOD LN",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824319",
            "telephone_number": "727-545-4966",
            "fax_number": "727-545-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 GRAND BLVD STE 108",
            "address_2": "RICHEY MEDICAL CENTER",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524011",
            "telephone_number": "727-849-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANICKER",
        "first_name": "USHA",
        "middle_name": "SOMASUNDARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME86983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.