Grace V Sarvotham, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME42498 Issued in FL

Practice address

630 Main St
Altamonte Springs, FL 32701-6413

Phone

(407) 339-6148

Fax

(407) 339-0254

NPI assigned

Jul 16, 2006

Last updated

Mar 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: grace.sarvotham.1@2183.direct.athenahealth.com
• Direct secure messaging: gsarvotham@sarvothammd.genensys.direct-ci.com

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.

• Florida Woman Care, LLC

  dba Alline

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1386823243
  NPD (past)
• Grace Sarvotham MD

  • Obstetrics Physician
  • Altamonte Springs, FL
  • NPI 1316202682
  NPD (past)
• Womencare PA

  • Specialist
  • Orlando, FL
  • NPI 1366529042
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1700803657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 CANTON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033207",
            "telephone_number": "407-339-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MAIN ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016413",
            "telephone_number": "407-339-6148",
            "fax_number": "407-339-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARVOTHAM",
        "first_name": "GRACE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME42498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068265900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto Candido Santos, M.D.
• Mark Sanville
• Saphena Vein Clinic & Wellness Center, LLC (Saphena Vein Clinic & Wellness Center)
• Neville B Sarkari, M.D.
• Elizabeth Sarria, RBT
• Elizabeth B Sasse, MD
• Sassy Sistas Boutique LLC
• Rachel C Savard
• Laura Maged Sawires, DMD
• Emmanuel D Scarlatos, M.D.

• Obstetrics & Gynecology Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.