Individual provider Active NPI

Aravind N Pillai, MD

  • Internal Medicine Physician
  • Sanford, FL
National Provider Identifier
1629068275
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0061642 Issued in FL
Practice address
819 E 1St St
Suite 3
Sanford, FL 32771-1467
Phone
(407) 328-8008
Fax
(407) 328-8030
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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 ME0061642 FL Primary

Addresses

Primary practice location

819 E 1St St
Suite 3
Sanford, FL 32771-1467

Mailing address

819 E 1St St
Suite 3
Sanford, FL 32771-1467
Phone (407) 328-8008

Other identifiers 1

IdentifierTypeStateIssuer
370727000MedicaidFL

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
I20101006000614 FL Practitioner - Internal Medicine 0042402232 Practice locations: Sanford, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0061642FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aravind Pillai M.D Internal Medicine PastSince Feb 10, 1992 Accepting new patients
Ante Rudez MD PA Past Accepting new patients

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1629068275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 E 1ST ST",
            "address_2": "SUITE 3",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711467",
            "telephone_number": "407-328-8008",
            "fax_number": "407-328-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 E 1ST ST",
            "address_2": "SUITE 3",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711467",
            "telephone_number": "407-328-8008",
            "fax_number": "407-328-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLAI",
        "first_name": "ARAVIND",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0061642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370727000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.