Jai Ho

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAI HO

Doing business as

Sand Lake Medical Walk In Clinic

Practice address

1650 Sand Lake Rd Ste 112a
Orlando, FL 32809-7671

Phone

(407) 286-1829

Fax

(407) 286-3291

NPI assigned

Aug 22, 2016

Last updated

Nov 2, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

JAI HO MALABAR MEDICAL WALK IN CLINICAs reported in NPPES

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

Authorized official

Name

Kantilal Bhalani, MDNPI 1770688434

Title

Physicia

Phone

(407) 286-1829

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Sand Lake Medical Walk In Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jai Ho LLC

  dba Malabar Medical Walk In Clinic

  • Family Medicine Physician
  • Palm Bay, FL
  • NPI 1235507781

  O20180817001214

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Jai Ho

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kantilal Bhalani, MD

  • Family Medicine Physician
  • Palm Bay, FL
  • NPI 1770688434
  Medicare reassignment Care Compare group NPD Authorized official
• Vernice D Ragsdale, MD

  • Family Medicine Physician
  • Indialantic, FL
  • NPI 1467446450
  Medicare reassignment Care Compare group NPD
• Karen Carter, APRN

  • Family Nurse Practitioner
  • Apopka, FL
  • NPI 1518464064
  Medicare reassignment NPD
• Humberto Perez, M.D

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1215130943
  Medicare reassignment NPD
• Erin Goss, CNP

  • Adult Health Nurse Practitioner
  • Hackett, AR
  • NPI 1386096584

  FL

  Medicare reassignment NPD
• Mosammat Khaleda Nayem, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1427012418
  Medicare reassignment NPD (past)
• Patrick Gene Campbell, PA-C

  • Medical Physician Assistant
  • Melbourne, FL
  • NPI 1023094414
  NPD
• Deborah L. Marino, ARNP-C

  • Adult Health Nurse Practitioner
  • Malabar, FL
  • NPI 1093739302
  NPD
• Kiersten Crabtree, APRN

  • Family Nurse Practitioner
  • Largo, FL
  • NPI 1053975466
  NPD (past)
• Uday Daphtary, MD

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1558323477
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1609321454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SAND LAKE RD",
            "address_2": "SUITE 112A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097681",
            "telephone_number": "407-286-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SAND LAKE RD STE 112A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097671",
            "telephone_number": "407-286-1829",
            "fax_number": "407-286-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI HO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAI HO MALABAR MEDICAL WALK IN CLINIC",
        "enumeration_date": "2016-08-22",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "BHALANI",
        "authorized_official_first_name": "KANTILAL",
        "authorized_official_title_or_position": "PHYSICIA",
        "authorized_official_telephone_number": "407-286-1829",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME39710",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016834700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1609321454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sand Lake Medical Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabrina Jaglal, PHARMD
• Amrita Jagmohan
• Rajiv G Jaha
• Mosammat Israt Jahan, FNP
• Cole Stuart Jahna
• Shawn Jaikaran, M.D.
• Alyssa Claire Jaiman
• Jillian Lynn Jaiman
• Diana Jaime, M.D.
• Elsa Liliana Jaimes, PT

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.