Individual provider Active NPI

Geetha Nampi Buckler, M.D.

  • Psychosomatic Medicine Physician
  • Wellington, FL
National Provider Identifier
1538475801
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
ME125042 Issued in FL
Practice address
1035 S State Road 7 Ste 209
Wellington, FL 33414-6136
Phone
(561) 331-8800
Fax
(561) 331-8074
NPI assigned
Aug 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X ME125042 FL Primary
Psychiatry Physician 2084P0800X ME125042 FL

Addresses

Primary practice location

1035 S State Road 7 Ste 209
Wellington, FL 33414-6136

Mailing address

1721 SE 4TH Ave
Fort Lauderdale, FL 33316-2515
Phone (954) 764-7337

Other practice location 1

1721 SE 4th Ave
Fort Lauderdale, FL 33316-2515
Phone (954) 764-7337

Other practice location 2

1727 SE 4th Ave
Fort Lauderdale, FL 33316-2515
Phone (954) 764-7337

Other names 1

  • Geetha Nampiaparampil Former name

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
I20151001001745 FL Practitioner - Psychiatry 1254572837 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME125042FLMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Specialty Center LLC Psychiatry CurrentSince Jan 1, 2022 Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients
Mindpath Health Florida, PLLC Psychiatry PastSince Jan 1, 2022 Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients

Locations

1035 S State Road 7
Ste 209
Wellington, FL 33414
Phone (561) 331-8800

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1538475801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 SE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162515",
            "telephone_number": "954-764-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S STATE ROAD 7 STE 209",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146136",
            "telephone_number": "561-331-8800",
            "fax_number": "561-331-8074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 SE 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162515",
            "country_code": "US",
            "telephone_number": "954-764-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1727 SE 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162515",
            "country_code": "US",
            "telephone_number": "954-764-7337",
            "fax_number": "800-465-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLER",
        "first_name": "GEETHA",
        "middle_name": "NAMPI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "FL",
            "license": "ME125042",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME125042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEETHA",
            "last_name": "NAMPIAPARAMPIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.