Individual provider Active NPI

Anjali Shetty

  • Rheumatology Physician
  • Palm Harbor, FL
National Provider Identifier
1720303555
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME121856 Issued in FL
Practice address
33920 US 19 N Ste 241
Palm Harbor, FL 34684-2672
Phone
(727) 773-9793
Fax
(727) 773-0674
NPI assigned
Apr 5, 2010
Last updated
Aug 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME121856 FL Primary

Addresses

Primary practice location

33920 US 19 N Ste 241
Palm Harbor, FL 34684-2672

Mailing address

33920 US 19 N Ste 241
Palm Harbor, FL 34684-2672
Phone (727) 773-9793

Other identifiers 1

IdentifierTypeStateIssuer
593548577OtherFLTAXPAYER IDENTIFICATION NUMBER

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
I20150615001144 FL Practitioner - Rheumatology 2062723265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of South Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis Associates of Florida, PAGroup PAC ID 1557340973, 4 clinicians

Practice addresses (Care Compare)

33920 US 19
Suite 241
Palm Harbor, FL 34684-2672
Phone (727) 773-9793

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Associates of Florida, PA Rheumatology CurrentSince Jul 1, 2015 Accepting new patients

Locations

33920 US Highway 19 N
Ste 241
Palm Harbor, FL 34684
Phone (727) 773-9793

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.

Hospital & facility affiliations 5

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1720303555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33920 US 19 N STE 241",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842672",
            "telephone_number": "727-773-9793",
            "fax_number": "727-773-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33920 US 19 N STE 241",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842672",
            "telephone_number": "727-773-9793",
            "fax_number": "727-773-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "ANJALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME121856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER IDENTIFICATION NUMBER",
            "identifier": "593548577",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.