NPIMap

Individual provider Active NPI

Venkateswara R Nandam, M.D.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1669444626
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 76077 Issued in FL
Practice address
6388 Silver Star Rd
Ste# 1C
Orlando, FL 32818-3235
Phone
(407) 298-0912
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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 ME 76077 FL Primary

Addresses

Primary practice location

6388 Silver Star Rd
Ste# 1C
Orlando, FL 32818-3235

Mailing address

6388 Silver Star Rd
Ste# 1C
Orlando, FL 32818-3235
Phone (407) 298-0912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525000280 FL Practitioner - Internal Medicine 1759372691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6200 Silver Star Rd
Orlando, FL 32808-4245
Phone (407) 298-0912

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 76077FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Primary Care PA Internal Medicine CurrentSince Apr 15, 2003 Accepting new patients
Central Florida Health Clinics, LLC PastSince Feb 1, 2006 Accepting new patients

Locations

6200 Silver Star Rd
Orlando, FL 32808
Phone (407) 291-9023

6388 Silver Star Rd
Ste 1C
Orlando, FL 32818
Phone (407) 298-0912

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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 10

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1669444626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6388 SILVER STAR RD",
            "address_2": "STE# 1C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183235",
            "telephone_number": "407-298-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6388 SILVER STAR RD",
            "address_2": "STE# 1C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183235",
            "telephone_number": "407-298-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDAM",
        "first_name": "VENKATESWARA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 76077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.