Individual provider Active NPI

Simrita Sidhu, MD

  • Internal Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1619938834
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME-0072341 Issued in FL
Practice address
4428 Commercial Way
Spring Hill, FL 34606-1966
Phone
(352) 597-1011
Fax
(352) 597-7803
NPI assigned
Mar 29, 2006
Last updated
May 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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 ME-0072341 FL Primary

Addresses

Primary practice location

4428 Commercial Way
Spring Hill, FL 34606-1966

Mailing address

4428 Commercial Way
Spring Hill, FL 34606-1966
Phone (352) 597-1011

Other identifiers 1

IdentifierTypeStateIssuer
254612400MedicaidFL

Other names 1

  • Mrs. Simrita S Banwatt Other name

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
I20100505000275 FL Practitioner - Internal Medicine 8123095486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4428 Commercial Way
Spring Hill, FL 34606-1966
Phone (352) 597-1011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-0072341FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Adult Health Care Inc Internal Medicine CurrentSince Jun 9, 1997 Accepting new patients
Access Health Care LLC Internal Medicine PastSince Jun 24, 1998 Accepting new patients

Locations

4428 Commercial Way
Spring Hill, FL 34606
Phone (352) 476-7736

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

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, 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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1619938834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061966",
            "telephone_number": "352-597-1011",
            "fax_number": "352-597-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061966",
            "telephone_number": "352-597-1011",
            "fax_number": "352-597-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "SIMRITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME-0072341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254612400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMRITA",
            "last_name": "BANWATT",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.