Individual provider Active NPI

Anita Vijay Moorjani, M.D.

  • Pediatrics Physician
  • Winter Garden, FL
National Provider Identifier
1619013729
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME98775 Issued in FL
Practice address
2200 Fowler Grove Blvd Ste 220
Winter Garden, FL 34787
Phone
(407) 656-0042
Fax
(407) 656-0633
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L4068 TX
Pediatrics Physician 208000000X ME98775 FL Primary

Addresses

Primary practice location

2200 Fowler Grove Blvd Ste 220
Winter Garden, FL 34787

Mailing address

2200 Fowler Grove Blvd Ste 220
Winter Garden, FL 34787-5597
Phone (407) 656-0042

Other practice location 1

15502 Stoneybrook West Pkwy Ste 2-108
Winter Garden, FL 34787-4767
Phone (407) 656-0042

Other identifiers 1

IdentifierTypeStateIssuer
279318100MedicaidFL

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
I20140203001591 FL Practitioner - Pediatric Medicine 5294964706 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98775FLMDPediatrics Physician
L4068TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Mar 29, 2017 Accepting new patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Mar 29, 2017 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

7975 Lake Underhill Rd
Ste 200
Orlando, FL 32822
Phone (407) 303-5990

2200 Fowler Grove Blvd
Ste 220
Winter Garden, FL 34787
Phone (407) 646-0042

15502 Stoneybrook West Pkwy
Ste 2108
Winter Garden, FL 34787
Phone (407) 656-0042

1573 W Fairbanks Ave
Ste 300
Winter Park, FL 32789
Phone (407) 303-6729

Interoperability endpoints

  • Direct secure messaging: amoorjani73274@adventhealth.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619013729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 220",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875597",
            "telephone_number": "407-656-0042",
            "fax_number": "407-656-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 220",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-656-0042",
            "fax_number": "407-656-0633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15502 Stoneybrook West Pkwy Ste 2-108",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347874767",
            "country_code": "US",
            "telephone_number": "407-656-0042",
            "fax_number": "407-656-0633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORJANI",
        "first_name": "ANITA",
        "middle_name": "VIJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4068",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME98775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279318100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.