Individual provider Active NPI

Kavitha Dasari, M.D.

  • Internal Medicine Physician
  • Ocoee, FL
National Provider Identifier
1679735021
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME110930 Issued in FL
Practice address
10000 W Colonial Dr Ste 381
Ocoee, FL 34761-3435
Phone
(321) 841-3467
Fax
(407) 253-2563
NPI assigned
Jun 26, 2008
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME110930 FL Primary

Addresses

Primary practice location

10000 W Colonial Dr Ste 381
Ocoee, FL 34761-3435

Mailing address

10000 W Colonial Dr Ste 381
Ocoee, FL 34761-3435
Phone (321) 841-3467

Other practice location 1

601 E Altamonte Dr
Altamonte Springs, FL 32701-4802
Phone (321) 258-1914

Other practice location 2

2775 Shore Pkwy
apt # 2A
Brooklyn, NY 11223-6530
Phone (321) 258-1914

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
I20130118000096 FL Practitioner - Internal Medicine 5092968396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

10000 W Colonial Dr
Suite 381
Ocoee, FL 34761-3435
Phone (321) 843-1378

601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Phone (407) 303-2200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Aug 21, 2014 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Aug 21, 2014 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Feb 1, 2018 Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

10000 W Colonial Dr
Ste 381
Ocoee, FL 34761
Phone (321) 841-3467

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1679735021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 381",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613435",
            "telephone_number": "321-841-3467",
            "fax_number": "407-253-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 381",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613435",
            "telephone_number": "321-841-3467",
            "fax_number": "407-253-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Altamonte Dr",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014802",
            "country_code": "US",
            "telephone_number": "321-258-1914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2775 Shore Pkwy",
            "address_2": "apt # 2A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112236530",
            "country_code": "US",
            "telephone_number": "321-258-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASARI",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME110930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.