Jogi V. Pattisapu, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME 0058285 Issued in FL

Practice address

80 Bonnie Loch CT
Orlando, FL 32806-2908

Phone

(407) 730-3102

Fax

(407) 730-3105

NPI assigned

Jun 11, 2006

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Childhood Neurosurgery & Center for Hydrocephalus, PA

  • Neurological Surgery Physician
  • Orlando, FL
  • NPI 1508071317
  NPD (past) Authorized official
• Jogi Pattisapu, MD, PA

  • Neurological Surgery Physician
  • Orlando, FL
  • NPI 1073880431
  NPD (past) Authorized official

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1598707101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BONNIE LOCH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062908",
            "telephone_number": "407-730-3102",
            "fax_number": "407-730-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BONNIE LOCH CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062908",
            "telephone_number": "407-730-3102",
            "fax_number": "407-730-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTISAPU",
        "first_name": "JOGI",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME 0058285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063602900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orin Mark Patterson, RPH
• Santrice Patterson
• Stephanie Patterson
• Tahirah NA'Ilah Patterson, LCSW
• Wanita Sue Patterson, DNP
• Cindy Patton, LMT
• Lucille Patton, RD, LDN
• Marlana Patton
• Nicole Patzelt, M.D.
• Sharonda Deana Paugh

• Neurological Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.