Active NPI
Venkata Murali Krishna Purimetla, M.D.
- Internal Medicine Physician
- Winter Garden, FL
National Provider Identifier
1679710073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME127651
- Practice address
- 1002 S Dillard St Ste 122
Winter Garden, FL 34787-3991 - Phone
- (407) 656-4222
- Fax
- (407) 656-7117
- NPI assigned
- Jan 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME127651 | FL | Primary |
Addresses
Primary practice location
1002 S Dillard St Ste 122
Winter Garden, FL 34787-3991
Mailing address
1002 S Dillard St Ste 122
Winter Garden, FL 34787-3991
Phone (407) 656-4222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30209755 | Medicaid | NH | |
| 018109500 | Medicaid | FL |
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
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1002 S Dillard St
122 Optum South Dillard
Winter Garden, FL 34787-3991
Phone (407) 656-4222
Hospital & facility affiliations
- Vitas Healthcare Corporation of Florida
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Optumcare Florida LLC | Internal Medicine | Current | Accepting new patients |
| Optumcare Florida Ci, LLC | Past | Accepting new patients |
Locations
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093
1002 S Dillard St
Ste 122
Winter Garden, FL 34787
Phone (407) 656-4222
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- venkata.purimetla@wellmed.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
Hospital & facility affiliations 6
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
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1679710073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 S DILLARD ST STE 122",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873991",
"telephone_number": "407-656-4222",
"fax_number": "407-656-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 S DILLARD ST STE 122",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873991",
"telephone_number": "407-656-4222",
"fax_number": "407-656-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURIMETLA",
"first_name": "VENKATA",
"middle_name": "MURALI KRISHNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-07",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME127651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30209755",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018109500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.