Individual provider Active NPI

Rupesh Andani, MBBS

  • Student in an Organized Health Care Education/Training Program
  • Sebring, FL
National Provider Identifier
1700633674
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
TRN39376 Issued in FL
Practice address
4325 Sun N Lake Blvd Ste 105
Sebring, FL 33872-2171
Phone
(863) 402-3763
Fax
(863) 402-3765
NPI assigned
Apr 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN39376 FL Primary

Addresses

Primary practice location

4325 Sun N Lake Blvd Ste 105
Sebring, FL 33872-2171

Mailing address

4325 Sun N Lake Blvd Ste 105
Sebring, FL 33872-2171
Phone (863) 402-3763

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
I20240520002241 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5698117802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TRN39376FLMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: randani3474911@adventhealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1700633674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 SUN N LAKE BLVD STE 105",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722171",
            "telephone_number": "863-402-3763",
            "fax_number": "863-402-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 SUN N LAKE BLVD STE 105",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722171",
            "telephone_number": "863-402-3763",
            "fax_number": "863-402-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDANI",
        "first_name": "RUPESH",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN39376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.