Active NPI
Apollo Medical Group PA
- Internal Medicine Physician
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- APOLLO MEDICAL GROUP PA
- Practice address
- 3535 Little Road
Trinity, FL 34655-1811 - Phone
- (727) 375-0848
- Fax
- (727) 375-5548
- NPI assigned
- Jul 31, 2007
- Last updated
- Nov 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jayadeva Chowdappa, MD
- Title
- President
- Phone
- (727) 375-0848
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
3535 Little Road
Trinity, FL 34655-1811
Mailing address
3535 Little Road
Trinity, FL 34655-1811
Phone (727) 375-0848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2298157 | Apollo Medical Group PA | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
3535 Little Rd
Trinity, FL 34655
Phone (727) 375-0848
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJGABA
Practitioners & affiliated clinicians
Practitioners 15
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.
-
- Internal Medicine Physician
- Trinity, FL
- NPI 1609871805
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- NPI 1659405173
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- Bradenton, FL
- NPI 1619969789
-
- Family Medicine Physician
- Trinity, FL
- NPI 1720662000
-
- Family Medicine Physician
- Tampa, FL
- NPI 1013923713
-
- Internal Medicine Physician
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- NPI 1629033840
-
- Family Nurse Practitioner
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- NPI 1992397525
-
- Primary Care Nurse Practitioner
- Tampa, FL
- NPI 1083032734
-
- Family Nurse Practitioner
- Sarasota, FL
- NPI 1164824694
-
- Nurse Practitioner
- Tampa, FL
- NPI 1699360750
-
- Physician Assistant
- Tampa, FL
- NPI 1912658410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385337600000",
"number": "1619167111",
"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 ROAD",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551811",
"telephone_number": "727-375-0848",
"fax_number": "727-375-5548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO MEDICAL GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2013-11-25",
"status": "A",
"authorized_official_last_name": "CHOWDAPPA",
"authorized_official_first_name": "JAYADEVA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-375-0848",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.