Active NPI
Shiva Mukund Arjun, M.D.
- Pulmonary Disease Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 166809
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 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
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.35 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 323181 | NY | MD | Internal Medicine Physician |
| 166809 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| Respro Sleep | Multi-Specialty | Current | Accepting new patients |
| Florida Lung Asthma and Sleep Specialists, P.a. | Multi-Specialty | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | 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
- shiva.arjun.p1@direct.flass.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Multi-Specialty
-
- Pulmonary Disease Physician
- Kissimmee, FL
- NPI 1316228364
Multi-Specialty
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Sleep Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1013752310
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.