Active NPI
Giri Venkata Kaliki, M.D.,
- Pediatrics Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E - 7574
- Practice address
- 1 Childrens Way
Suite# 653
Little Rock, AR 72202-3500 - Phone
- (501) 364-1100
- NPI assigned
- Feb 28, 2009
- Last updated
- Jun 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E - 7574 | AR | Primary |
| Pediatrics Physician | 208000000X | ME105735 | FL |
Addresses
Primary practice location
1 Childrens Way
Suite# 653
Little Rock, AR 72202-3500
Mailing address
5500 Highland Dr
Apt 1621
Little Rock, AR 72223-2051
Phone (352) 278-0688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015069500 | Medicaid | FL |
Other names 1
- Dr. Giridhar Kalikivenkata
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E - 7574 | AR | MD | Pediatrics Physician |
| ME105735 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients |
Locations
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
Interoperability endpoints
- gvenkata15495@direct.shands.ufl.edu
Organizations & group practices 3
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.
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Pediatric Critical Care Medicine Physician
- Hollywood, FL
- NPI 1164484432
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1619117850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 HIGHLAND DR",
"address_2": "APT 1621",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722232051",
"telephone_number": "352-278-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY",
"address_2": "SUITE# 653",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALIKI",
"first_name": "GIRI",
"middle_name": "VENKATA",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-28",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E - 7574",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME105735",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015069500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GIRIDHAR",
"last_name": "KALIKIVENKATA",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.