NPIMap

Individual provider Active NPI

Indulekha N Gopal, M.D.

  • Infectious Disease Physician
  • Coral Springs, FL
National Provider Identifier
1700831088
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME92182 Issued in FL
Practice address
2901 Coral Hills Drive
Ste 220
Coral Springs, FL 33065-4146
Phone
(954) 345-0404
Fax
(954) 346-8315
NPI assigned
May 24, 2006
Last updated
Jul 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME92182 FL Primary

Addresses

Primary practice location

2901 Coral Hills Drive
Ste 220
Coral Springs, FL 33065-4146

Mailing address

2901 Coral Hills Drive
Ste 220
Coral Springs, FL 33065-4146
Phone (954) 345-0404

Other identifiers 1

IdentifierTypeStateIssuer
271818900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000445 FL Practitioner - Infectious Disease 9234183435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Consultants PAGroup PAC ID 1658325840, 5 clinicians

Practice addresses (Care Compare)

3100 Coral Hills Dr
Suite 205
Coral Springs, FL 33065-4139
Phone (954) 345-0404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92182FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants PA Infectious Disease CurrentSince Jan 24, 2005 Accepting new patients
Dr Arthur B Korbel Inc Past Accepting new patients

Locations

2901 Coral Hills Dr
Ste 220
Coral Springs, FL 33065
Phone (954) 345-0404

3100 Coral Hills Dr
Ste 205
Coral Springs, FL 33065
Phone (954) 341-1520

2438 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 772-6740

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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 9

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1700831088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DRIVE",
            "address_2": "STE 220",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654146",
            "telephone_number": "954-345-0404",
            "fax_number": "954-346-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORAL HILLS DRIVE",
            "address_2": "STE 220",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654146",
            "telephone_number": "954-345-0404",
            "fax_number": "954-346-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "INDULEKHA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME92182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271818900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.