Organization Active NPI

Drhomevisitcomllc

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1578830170
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME85807 Issued in FL
Legal business name
DRHOMEVISITCOMLLC
Practice address
745 Orienta Ave
Ste 1191
Altamonte Springs, FL 32701-5619
Phone
(407) 782-3702
NPI assigned
Nov 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Dr. Stephen Nimbargi, MDNPI 1811955362
Title
Owner
Phone
(407) 782-3702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME85807 FL Primary

Addresses

Primary practice location

745 Orienta Ave
Ste 1191
Altamonte Springs, FL 32701-5619

Mailing address

PO Box 150038
Altamonte Springs, FL 32715-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000588 FL Part B Supplier - Clinic/Group Practice 9234397449 Receives reassigned benefits from 2 practitioners
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1578830170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150038",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327150038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ORIENTA AVE",
            "address_2": "STE 1191",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015619",
            "telephone_number": "407-782-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRHOMEVISITCOMLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-27",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "NIMBARGI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-782-3702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.