Individual provider Active NPI

Somashekar Pallegar, MD ABFP FRCS DA FPA

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1619969789
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0076940 Issued in FL
Practice address
1811 Bayshore Gardens Pkwy
Bradenton, FL 34207-4706
Phone
(941) 755-9550
Fax
(941) 755-8520
NPI assigned
Aug 16, 2005
Reactivated
Mar 27, 2006
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0076940 FL Primary

Addresses

Primary practice location

1811 Bayshore Gardens Pkwy
Bradenton, FL 34207-4706

Mailing address

1811 Bayshore Gardens Pkwy
Bradenton, FL 34207-4706
Phone (941) 755-9550

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
I20101116001120 FL Practitioner - Family Practice 2163617168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apollo Medical Group PAGroup PAC ID 6103900931, 8 clinicians

Practice addresses (Care Compare)

1811 Bayshore Gardens Pkwy
Bradenton, FL 34207-4706
Phone (941) 755-9550

3535 Little Rd
Trinity, FL 34655-1811
Phone (727) 375-0848

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0076940FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Medical Group PA CurrentSince May 14, 2024 Accepting new patients

Locations

1811 Bayshore Gardens Pkwy
Bradenton, FL 34207
Phone (941) 755-9550

1811 Bayshore Gardens Pkwy
Ste C
Bradenton, FL 34207

3535 Little Rd
Trinity, FL 34655
Phone (727) 375-0848

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1619969789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BAYSHORE GARDENS PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074706",
            "telephone_number": "941-755-9550",
            "fax_number": "941-755-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BAYSHORE GARDENS PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074706",
            "telephone_number": "941-755-9550",
            "fax_number": "941-755-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLEGAR",
        "first_name": "SOMASHEKAR",
        "name_prefix": "Mr.",
        "credential": "MD ABFP FRCS DA FPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2017-02-20",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0076940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.