NPIMap

Individual provider Active NPI

Vijaya L Cherukuri, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • St Petersburg, FL
National Provider Identifier
1750375267
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME0076324 Issued in FL
Practice address
218 Pasadena Ave S
Saint Petersburg, FL 33707-1251
Phone
(727) 345-0160
Fax
(727) 345-0100
NPI assigned
Sep 12, 2005
Last updated
May 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME0076324 FL Primary

Addresses

Primary practice location

218 Pasadena Ave S
Saint Petersburg, FL 33707-1251

Mailing address

9306 Silverthorn Rd
Largo, FL 33777-3163
Phone (727) 345-0160

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
I20040403000078 FL Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7113910555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

218 Pasadena S Ave
Saint Petersburg, FL 33707-1251
Phone (727) 345-0160

9306 Silverthorn Rd
Largo, FL 33777-3163

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0076324FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care Inc CurrentSince Apr 19, 2004 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
American Family & Geriatric Care PA Geriatric Medicine Past Accepting new patients
Elias Kanaan MD PA PastSince Aug 20, 2001 Accepting new patients

Locations

218 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-0160

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA
  • Direct secure messaging: vcherukuri189007@orlandohealth.medalliesdirect.net

Organizations & group practices 5

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 10

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1750375267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 SILVERTHORN RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337773163",
            "telephone_number": "727-345-0160",
            "fax_number": "727-345-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 PASADENA AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071251",
            "telephone_number": "727-345-0160",
            "fax_number": "727-345-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUKURI",
        "first_name": "VIJAYA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0076324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.