Active NPI
Dipak Dinanath Nadkarni, D.O.
- Family Medicine Physician
- Largo, FL
National Provider Identifier
1730179441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0006974
- Practice address
- 1301 2ND Ave SW
Largo, FL 33770-2298 - Phone
- (727) 581-8767
- Fax
- (727) 586-6018
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0006974 | FL | Primary |
Addresses
Primary practice location
1301 2ND Ave SW
Largo, FL 33770-2298
Mailing address
1301 2ND Ave SW
Largo, FL 33770-2298
Phone (727) 581-8767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0O4WF | Other | FL | FLORIDA BLUE |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0006974 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1730179441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337702298",
"telephone_number": "727-581-8767",
"fax_number": "727-586-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337702298",
"telephone_number": "727-581-8767",
"fax_number": "727-586-6018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADKARNI",
"first_name": "DIPAK",
"middle_name": "DINANATH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0006974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "0O4WF",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.