Individual provider Active NPI

Lokesh V Vattigunta, MD

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1669402459
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93651 Issued in FL
Practice address
119 Talavera Place
Palm Beach Gardens, FL 33418-6221
Phone
(561) 433-1004
Fax
(561) 616-6408
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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 ME93651 FL Primary

Addresses

Primary practice location

119 Talavera Place
Palm Beach Gardens, FL 33418-6221

Mailing address

119 Talavera Place
Palm Beach Gardens, FL 33418-6221
Phone (561) 433-1004

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
I20061207000228 FL Practitioner - Internal Medicine 4183619141 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Palm Beach Physician Group Inc CurrentSince Aug 15, 2010 Accepting new patients

Locations

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

Interoperability endpoints

  • Direct secure messaging: lokesh_vattigunta_md@yourcarecommunity.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1669402459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TALAVERA PLACE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186221",
            "telephone_number": "561-433-1004",
            "fax_number": "561-616-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TALAVERA PLACE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186221",
            "telephone_number": "561-433-1004",
            "fax_number": "561-616-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTIGUNTA",
        "first_name": "LOKESH",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.