Individual provider Active NPI

Radha Vallabhaneni, M.D.

  • Neurology Physician
  • Coral Springs, FL
National Provider Identifier
1649288374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME81289 Issued in FL
Practice address
3080 NW 99TH Ave
Suite # 302
Coral Springs, FL 33065-4038
Phone
(954) 796-9666
Fax
(954) 796-0333
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME81289 FL Primary

Addresses

Primary practice location

3080 NW 99TH Ave
Suite # 302
Coral Springs, FL 33065-4038

Mailing address

PO Box 970728
Coconut Creek, FL 33097-0728
Phone (954) 796-9666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, GA, OK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20081202000624 FL Practitioner - NeurologyPractitioner - Psychiatry 8123189610 Reassigns benefits to 4 organizations
I20210915000865 MO Practitioner - Neurology 8123189610 Reassigns benefits to 3 organizations
I20241217004060 GA Practitioner - PsychiatryPractitioner - Neurology 8123189610 Reassigns benefits to 1 organization
I20250708003354 OK Practitioner - Neurology 8123189610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radha Vallabhaneni MD LLC Neurology CurrentSince Nov 2, 2006 Accepting new patients
Lee Memorial Health System CurrentSince Jan 27, 2022 Accepting new patients
Carepoint Inpatient Blue Sky Neurology Georgia PLLC Neurology CurrentSince Sep 1, 2024 Accepting new patients
Carepoint Inpatient Blue Sky Neurology Missouri, LLC Neurology CurrentSince Aug 1, 2021 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jul 1, 2025 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Nov 27, 2023 Accepting new patients
Lee Memorial Health System CurrentSince Jan 27, 2022 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Southeast Hospital CurrentSince Aug 25, 2024 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Nchmd Inc Current Accepting new patients
Southeast Missouri Hospital Physicians, LLC Neurology CurrentSince Oct 30, 2023 Accepting new patients
Nchmd, Inc CurrentSince Nov 27, 2023 Accepting new patients
Southeast Hospital CurrentSince Aug 25, 2024 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

4851 W Hillsboro Blvd
Ste A8
Coconut Creek, FL 33073
Phone (561) 703-1383

3080 NW 99th Ave
Ste 302
Coral Springs, FL 33065
Phone (954) 796-9666

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

311 Tamiami Trl N
Ste 110
Naples, FL 34102
Phone (239) 624-4286

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rvallabhaneni77321@nchhealthcaresystem.direct-ci.com
  • Direct secure messaging: radha.vallabhaneni@hca5.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649288374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970728",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330970728",
            "telephone_number": "954-796-9666",
            "fax_number": "954-796-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 NW 99TH AVE",
            "address_2": "SUITE # 302",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654038",
            "telephone_number": "954-796-9666",
            "fax_number": "954-796-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLABHANENI",
        "first_name": "RADHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME81289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.