NPIMap

Individual provider Active NPI

Udita R Jahagirdar, M.D.

  • Obstetrics & Gynecology Physician
  • Lake Mary, FL
National Provider Identifier
1750350617
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0044266 Issued in FL
Practice address
101 N 8TH St
Ste 1001
Lake Mary, FL 32746-3101
Phone
(407) 321-8300
Fax
(407) 321-8820
NPI assigned
Mar 14, 2006
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0044266 FL Primary

Addresses

Primary practice location

101 N 8TH St
Ste 1001
Lake Mary, FL 32746-3101

Mailing address

101 N 8TH St
Ste 1001
Lake Mary, FL 32746-3101
Phone (407) 321-8300

Other identifiers 1

IdentifierTypeStateIssuer
068823100MedicaidFL

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
I20110216000380 FL Practitioner - Obstetrics/Gynecology 3971675257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

101 N 8TH St
Lake Mary, FL 32746-3101
Phone (407) 321-8300

1200 Lexington Green LN
Sanford, FL 32771-1013

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0044266FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Udita Jahagirdar MD PA Obstetrics & Gynecology CurrentSince Jan 9, 2011 Accepting new patients

Locations

101 N 8th St
Ste 1001
Lake Mary, FL 32746
Phone (407) 321-8300

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJHCA/Endpoint/EDJHCA

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 6

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1750350617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 8TH ST",
            "address_2": "STE 1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463101",
            "telephone_number": "407-321-8300",
            "fax_number": "407-321-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 8TH ST",
            "address_2": "STE 1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463101",
            "telephone_number": "407-321-8300",
            "fax_number": "407-321-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHAGIRDAR",
        "first_name": "UDITA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0044266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068823100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.