Individual provider Active NPI

Nanjappa Chandramohan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Ocala, FL
National Provider Identifier
1699772574
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME84234 Issued in FL
Practice address
2135 SW 19TH Avenue Rd Ste 103
Ocala, FL 34471-7877
Phone
(352) 368-1360
Fax
(352) 237-7728
NPI assigned
Jul 7, 2005
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME84234 FL Primary

Addresses

Primary practice location

2135 SW 19TH Avenue Rd Ste 103
Ocala, FL 34471-7877

Mailing address

PO Box 2556
Ocala, FL 34478-2556
Phone (352) 274-9900

Other practice location 1

1714 SW 17th St
Ocala, FL 34471-1223
Phone (352) 274-9900

Other identifiers 1

IdentifierTypeStateIssuer
265174200MedicaidFL

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
I20050420000412 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 2769420819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Family Medical Center IncGroup PAC ID 6608865290, 60 clinicians

Practice addresses (Care Compare)

2135 SW 19TH Ave Rd
Suite 103
Ocala, FL 34471-7877
Phone (352) 237-4133

Merit-based Incentive Payment System (MIPS)

Final score
82.76 of 100Reported as group
Quality
82.62
Promoting interoperability
77
Improvement activities
40
Cost
79.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tricounty Health LLC CurrentSince Oct 6, 2019 Accepting new patients
Ocala Family Medical Center, Inc. Endocrinology, Diabetes & Metabolism CurrentSince May 16, 2022 Accepting new patients
The Ear Nose and Throat Surgical Associates PA PastSince Mar 1, 2005 Accepting new patients
Solace Anesthesia, LLC PastSince May 16, 2022 Accepting new patients

Locations

753 Highway 466
Lady Lake, FL 32159
Phone (321) 248-2666

2135 SW 19th Avenue Rd
Ste 103
Ocala, FL 34471
Phone (352) 237-4133

2230 SW 19th Avenue Rd
Ocala, FL 34471
Phone (352) 237-4133

4056 E State Road 44
Wildwood, FL 34785
Phone (352) 268-0003

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJGBD
  • Direct secure messaging: nanjappa.chandramohan@ocalafmc.directbygreenway.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1699772574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2556",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344782556",
            "telephone_number": "352-274-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SW 19TH AVENUE RD STE 103",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717877",
            "telephone_number": "352-368-1360",
            "fax_number": "352-237-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1714 SW 17th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344711223",
            "country_code": "US",
            "telephone_number": "352-274-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDRAMOHAN",
        "first_name": "NANJAPPA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME84234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265174200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.