Malleswari S Vangara, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0073484 Issued in FL

Practice address

5515 Gulf Dr
Suite B
New Port Richey, FL 34652-4033

Phone

(727) 843-9200

Fax

(727) 843-9400

NPI assigned

Aug 3, 2005

Last updated

Nov 14, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: malleswari.vanagara.1@14441.direct.athenahealth.com

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.

• Malleswari S Vangara MD PA

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1811175953
  Authorized official Same address or phone
• Inpatient Services of Florida PA

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1992715619
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1558362269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 GULF DR",
            "address_2": "SUITE B",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524033",
            "telephone_number": "727-843-9200",
            "fax_number": "727-843-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 GULF DR",
            "address_2": "SUITE B",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524033",
            "telephone_number": "727-843-9200",
            "fax_number": "727-843-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGARA",
        "first_name": "MALLESWARI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "42632",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS",
            "identifier": "10539201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5512592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vallo Trinity PLLC (The Dental Boutique Trinity)
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• Jordyn Lynn Van Nortwick, PA-C
• Vera Vanden-Ballin, LMFT
• Debra Ellen Vangaasbeek, ARNP
• Sreenivas P Vangara, MD
• Durga Varre, PHARMACIST
• Nicholas Vasilakos
• Priscilla Vasquez
• U B Vasudev, D.D.S

• Internal Medicine Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.