Active NPI
Pushpa P Nirmul, M.D.
- Pediatrics Physician
- Riverview, FL
National Provider Identifier
1700947918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0038457
- Practice address
- 11260 Sullivan St.
Riverview, FL 33578 - Phone
- (813) 689-7571
- Fax
- (813) 654-8129
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0038457 | FL | Primary |
Addresses
Primary practice location
11260 Sullivan St.
Riverview, FL 33578
Mailing address
11260 Sullivan St.
Riverview, FL 33578
Phone (813) 689-7571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066482100 | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0038457 | FL | MD | Pediatrics Physician |
Organizations & group practices 1
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": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1700947918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11260 SULLIVAN ST.",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "33578",
"telephone_number": "813-689-7571",
"fax_number": "813-654-8129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11260 SULLIVAN ST.",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "33578",
"telephone_number": "813-689-7571",
"fax_number": "813-654-8129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIRMUL",
"first_name": "PUSHPA",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0038457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066482100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.