Organization Active NPI

Med-Care MD PA

  • Adolescent Medicine (Internal Medicine) Physician
  • Jacksonville, FL
National Provider Identifier
1750536215
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
ME0071493 Issued in FL
Legal business name
MED-CARE MD PA
Practice address
3661 Crown Point CT
Ste a
Jacksonville, FL 32257-5967
Phone
(904) 880-5220
NPI assigned
Nov 25, 2008
Last updated
Feb 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Dr. Ananthy Nallapillai, MDNPI 1023198009
Title
President
Phone
(904) 880-5220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X ME0071493 FL Primary

Addresses

Primary practice location

3661 Crown Point CT
Ste a
Jacksonville, FL 32257-5967

Mailing address

13105 Cricket Cove Rd N
Jacksonville, FL 32224-8405
Phone (904) 880-5220

National Provider Directory

National Provider Directory

Locations

3661 Crown Point Ct
Ste A
Jacksonville, FL 32257
Phone (904) 880-5220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1750536215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13105 CRICKET COVE RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322248405",
            "telephone_number": "904-880-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 CROWN POINT CT",
            "address_2": "STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575967",
            "telephone_number": "904-880-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CARE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "NALLAPILLAI",
        "authorized_official_first_name": "ANANTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-880-5220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME0071493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.