Individual provider Active NPI

Uday Daphtary, MD

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1558323477
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME62693 Issued in FL
Practice address
700 W Oak St
Kissimmee, FL 34741-4924
Phone
(800) 893-9698
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME62693 FL Primary

Addresses

Primary practice location

700 W Oak St
Kissimmee, FL 34741-4924

Mailing address

8030 Tabby LN
Maitland, FL 32751-8624
Phone (407) 924-9732

Other identifiers 1

IdentifierTypeStateIssuer
376514800MedicaidFL

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
I20050323000291 FL Practitioner - Family PracticePractitioner - Emergency Medicine 9739135716 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Contracting Services LLC CurrentSince Nov 1, 2015 Accepting new patients
Jai Ho LLC Family Medicine Past Accepting new patients
Emergency Physician Specialists Inc PastSince Feb 1, 2013 Accepting new patients
Jai Ho Family Medicine PastSince Nov 6, 2022 Accepting new patients

Locations

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

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

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1558323477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 TABBY LN",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518624",
            "telephone_number": "407-924-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414924",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAPHTARY",
        "first_name": "UDAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME62693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376514800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.