Individual provider Active NPI

Prabhakar Rumalla, M.D.

  • Gastroenterology Physician
  • Ocala, FL
National Provider Identifier
1669404943
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME31901 Issued in FL
Practice address
1901 SE 18TH Ave
BLDG # 400
Ocala, FL 34471-8215
Phone
(352) 732-8905
Fax
(352) 732-2440
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME31901 FL Primary

Addresses

Primary practice location

1901 SE 18TH Ave
BLDG # 400
Ocala, FL 34471-8215

Mailing address

1901 SE 18TH Ave
BLDG # 400
Ocala, FL 34471-8215
Phone (352) 732-8905

Other identifiers 1

IdentifierTypeStateIssuer
036980200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gastroocala@directaddress.net Direct

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
I20100923000423 FL Practitioner - Gastroenterology 7719973056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endoscopy Center of Ocala IncGroup PAC ID 2466448709, 19 clinicians

Practice addresses (Care Compare)

1901 SE 18TH Ave
Suite 400
Ocala, FL 34471-8213
Phone (352) 732-8905

Hospital & facility affiliations

  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy166
Upper gastrointestinal (GI) endoscopy for acid reflux136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME31901FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Ocala Inc Gastroenterology CurrentSince Jan 1, 1978 Accepting new patients

Locations

1150 SE 18th Pl
Ocala, FL 34471
Phone (352) 732-8905

1901 SE 18th Ave
Ste 400
Ocala, FL 34471
Phone (352) 620-0070

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1669404943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SE 18TH AVE",
            "address_2": "BLDG # 400",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718215",
            "telephone_number": "352-732-8905",
            "fax_number": "352-732-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SE 18TH AVE",
            "address_2": "BLDG # 400",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718215",
            "telephone_number": "352-732-8905",
            "fax_number": "352-732-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMALLA",
        "first_name": "PRABHAKAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME31901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036980200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gastroocala@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1901 SE 18th Ave",
            "address_2": "Bldg # 400",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344718215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.