Active NPI
Chandana Bopitiya, M.D.
- Cardiovascular Disease Physician
- Venice, FL
National Provider Identifier
1689675191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME26460
- Practice address
- 2350 Scenic Dr
Venice, FL 34293-1510 - Phone
- (941) 584-0043
- Fax
- (941) 496-8627
- NPI assigned
- Aug 9, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME26460 | FL | Primary |
Addresses
Primary practice location
2350 Scenic Dr
Venice, FL 34293-1510
Mailing address
2350 Scenic Dr
Venice, FL 34293-1510
Phone (941) 584-0043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58259 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME26460 | FL | MD | Cardiovascular Disease Physician |
| 26460 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1689675191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 SCENIC DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342931510",
"telephone_number": "941-584-0043",
"fax_number": "941-496-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 SCENIC DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342931510",
"telephone_number": "941-584-0043",
"fax_number": "941-496-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOPITIYA",
"first_name": "CHANDANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME26460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "58259",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.