Jayadeva Chowdappa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME73247 Issued in FL

Practice address

3535 Little Rd
Trinity, FL 34655-1811

Phone

(727) 375-0848

Fax

(727) 375-5548

NPI assigned

Jun 15, 2005

Last updated

Nov 26, 2014By 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 2

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apollo Medical Group PAGroup PAC ID 6103900931, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJGABA

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.

• Apollo Medical Group PA

  • Internal Medicine Physician
  • Trinity, FL
  • NPI 1619167111
  Medicare reassignment Care Compare group NPD Authorized official
• Incentive Care LLC

  • Internal Medicine Physician
  • Trinity, FL
  • NPI 1144770082
  Authorized official Same address or phone
• Next Healthcare Solutions

  • Corporate Health Clinic/Center
  • Trinity, FL
  • NPI 1588502918
  Authorized official Same address or phone

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1609871805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LITTLE ROAD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551811",
            "telephone_number": "727-375-0848",
            "fax_number": "727-375-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551811",
            "telephone_number": "727-375-0848",
            "fax_number": "727-375-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDAPPA",
        "first_name": "JAYADEVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "593554382",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255619700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chidambaram Chinniah, MD
• Keith Gregory Chisholm, MD
• Judy Lynn Chissell, RN
• Mamta Tarak Choksi, M.D.
• Tarak Suman Choksi, MD
• Bianca Christmann, APRN
• Christopher E. Chuong DMD, PLC
• Christopher Eric Chuong, D.M.D.
• Joseph Cimino
• Linda Marie Ciotoli, LMHC

• Internal Medicine Physician in Trinity, FL
• Providers in Trinity, 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 26, 2014; 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.
• 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.