Active NPI
Kavitha Rajarathnam, M.D.
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1548518616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME154915
- Practice address
- 19108 E Colonial Dr
Orlando, FL 32820-3701 - Phone
- (407) 905-8827
- NPI assigned
- Aug 21, 2012
- Last updated
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME154915 | FL | Primary |
Addresses
Primary practice location
19108 E Colonial Dr
Orlando, FL 32820-3701
Mailing address
110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827
Other practice location 1
425 S Hunt Club Blvd Ste 1051
Apopka, FL 32703-2428
Phone (407) 786-4080
Other practice location 2
737 Stirling Center Pl Ste 1809
Lake Mary, FL 32746-5715
Phone (407) 878-6008
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME154915 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntclub Pediatric Associates, LLC | Pediatrics | Past | Accepting new patients |
| Community Health Center, Inc. | Past | Accepting new patients | |
| Community Health Centers, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHAADD
- kavitha.rajarathnam@chcfl.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Winter Garden, FL
- NPI 1275602476
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1366531618
-
- Pediatrics Physician
- Apopka, FL
- NPI 1063568855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1548518616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S WOODLAND ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873546",
"telephone_number": "407-905-8827",
"fax_number": "321-221-9454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19108 E COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328203701",
"telephone_number": "407-905-8827"
}
],
"practiceLocations": [
{
"address_1": "425 S Hunt Club Blvd Ste 1051",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327032428",
"country_code": "US",
"telephone_number": "407-786-4080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "737 Stirling Center Pl Ste 1809",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327465715",
"country_code": "US",
"telephone_number": "407-878-6008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAJARATHNAM",
"first_name": "KAVITHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME154915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.