Individual provider Active NPI

Parag Pitroda, MD

  • Internal Medicine Physician
  • Dade City, FL
National Provider Identifier
1609897842
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME64525 Issued in FL
Practice address
13417 US Hwy 301 S
Suite a
Dade City, FL 33525
Phone
(352) 567-5136
Fax
(813) 355-5038
NPI assigned
Jul 22, 2006
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME64525 FL Primary

Addresses

Primary practice location

13417 US Hwy 301 S
Suite a
Dade City, FL 33525

Mailing address

38135 Market Square
Zephyrhills, FL 33542
Phone (813) 528-4975

Other identifiers 2

IdentifierTypeStateIssuer
373325400MedicaidFL
110070394OtherFLRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imdc@flmed.directbygreenway.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100308000243 FL Practitioner - Internal Medicine 2365587953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

13417 US Hwy 301
Suite 101
Dade City, FL 33525-5446
Phone (352) 567-5136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Jul 14, 1993 Accepting new patients
Florida Medical Clinic LLC CurrentSince Jul 14, 1993 Accepting new patients
Ohi West Medical Group II LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Ohi West Medical Group II LLC Past Accepting new patients

Locations

13417 US Highway 301
Dade City, FL 33525
Phone (352) 521-3967

13417 US Highway 301
Ste 101
Dade City, FL 33525
Phone (352) 567-5136

13417 US Highway 301
Ste A
Dade City, FL 33525
Phone (352) 567-5136

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1609897842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33542",
            "telephone_number": "813-528-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13417 US HWY 301 S",
            "address_2": "SUITE A",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "33525",
            "telephone_number": "352-567-5136",
            "fax_number": "813-355-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITRODA",
        "first_name": "PARAG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME64525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373325400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110070394",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imdc@flmed.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13417 US Hwy 301 S",
            "address_2": "Suite A",
            "city": "Dade City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

Verify at the official NPI Registry.