Individual provider Active NPI

Shiva Mukund Arjun, M.D.

  • Pulmonary Disease Physician
  • Kissimmee, FL
National Provider Identifier
1629564786
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
166809 Issued in FL
Practice address
3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654
Phone
(407) 507-2615
NPI assigned
Jul 2, 2018
Reactivated
Feb 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 166809 FL Primary
Internal Medicine Physician 207R00000X 323181 NY

Addresses

Primary practice location

3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654

Mailing address

2201 Hempstead Turnpike
Department of Internal Medicine
East Meadow, NY 11554
Phone (516) 572-6501

Other practice location 1

10920 Moss Park Rd Ste 100
Orlando, FL 32832-6087
Phone (877) 352-5864

Other practice location 2

2201 Hempstead Turnpike
East Meadow, NY 11554
Phone (516) 572-4835

Other names 1

  • Mukund Shivarjun Sankaramoorthy Former 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
I20240625002382 FL Practitioner - Pulmonary Disease 1355688920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
Florida Lung Asthma and Sleep Specialists, P.a.Group PAC ID 1052587573, 18 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654
Phone (877) 352-5864

400 Celebration PL
Celebration, FL 34747-4970

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
97.35 of 100Reported as group
Quality
93.32
Improvement activities
40
Cost
83.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323181NYMDInternal Medicine Physician
166809FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Multi-Specialty CurrentSince Sep 23, 2024 Accepting new patients
Respro Sleep Multi-Specialty CurrentSince Jul 23, 2025 Accepting new patients
Florida Lung Asthma and Sleep Specialists, P.a. Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 23, 2024 Accepting new patients

Locations

3480 Polynesian Isle Blvd
Kissimmee, FL 34746
Phone (407) 507-2615

4553 Pleasant Hill Rd
Kissimmee, FL 34759
Phone (407) 483-8965

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

717 E Michigan St
Orlando, FL 32806
Phone (407) 515-8585

10920 Moss Park Rd
Ste 100
Orlando, FL 32832
Phone (321) 325-9997

10929 Moss Park Rd Ste 118
Ste 118
Orlando, FL 32832

15540 W Colonial Dr
Winter Garden, FL 34787
Phone (877) 352-5864

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: shiva.arjun.p1@direct.flass.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCHDD

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1629564786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TURNPIKE",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-572-6501",
            "fax_number": "516-572-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 POLYNESIAN ISLE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464654",
            "telephone_number": "407-507-2615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10920 Moss Park Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326087",
            "country_code": "US",
            "telephone_number": "877-352-5864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Hempstead Turnpike",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "11554",
            "country_code": "US",
            "telephone_number": "516-572-4835",
            "fax_number": "516-572-5609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARJUN",
        "first_name": "SHIVA",
        "middle_name": "MUKUND",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "deactivation_date": "2019-02-13",
        "reactivation_date": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "166809",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "323181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUKUND",
            "last_name": "SANKARAMOORTHY",
            "middle_name": "SHIVARJUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.