Individual provider Active NPI

Kavitha Rajarathnam, M.D.

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1548518616
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME154915 Issued in FL
Practice address
19108 E Colonial Dr
Orlando, FL 32820-3701
Phone
(407) 905-8827
NPI assigned
Aug 21, 2012
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 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

LicenseStateTypeSpecialty
ME154915FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAADD
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.