NPIMap

Individual provider Active NPI

Venkat Vikram Chitumalla, M.D.

  • Nephrology Physician
  • Ocala, FL
National Provider Identifier
1750585113
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME109160 Issued in FL
Practice address
2980 S.E. 3Rd Court
Ocala, FL 34471-0421
Phone
(352) 622-4231
Fax
(352) 622-4231
NPI assigned
Jun 12, 2007
Last updated
Dec 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301085558 MI
Internal Medicine Physician 207R00000X 4301085558 MI
Nephrology Physician 207RN0300X ME109160 FL Primary

Addresses

Primary practice location

2980 S.E. 3Rd Court
Ocala, FL 34471-0421

Mailing address

2980 S.E. 3Rd Court
Ocala, FL 34471-0421
Phone (352) 622-4231

Other identifiers 1

IdentifierTypeStateIssuer
003847100MedicaidFL

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
I20110906000641 FL Practitioner - NephrologyPractitioner - Internal Medicine 7719050855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Kidney Group IncGroup PAC ID 5092795054, 13 clinicians

Practice addresses (Care Compare)

2980 SE 3Rd CT
Ocala, FL 34471-0421
Phone (352) 622-4231

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Kidney Group Inc Nephrology CurrentSince Jul 11, 2011 Accepting new patients
Ocala Kidney Group Inc Nephrology CurrentSince Jul 25, 2021 Accepting new patients

Locations

2620 W Highway 316
Citra, FL 32113
Phone (352) 591-4680

13940 N US Highway 441
Ste 400
Lady Lake, FL 32159
Phone (352) 751-1240

2860 SE 1st Ave
Ocala, FL 34471
Phone (352) 622-8758

2870 SE 1st Ave
Ocala, FL 34471
Phone (352) 351-9140

2980 SE 3rd Ct
Ocala, FL 34471
Phone (352) 622-4231

8585 SW Highway 200
Unit 19
Ocala, FL 34481
Phone (352) 854-5011

8613 SW 103rd Street Rd
Ocala, FL 34481
Phone (352) 622-4231

1950 Laurel Manor Dr
Ste 190
The Villages, FL 32162
Phone (352) 259-0250

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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 9

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1750585113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 S.E. 3RD COURT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710421",
            "telephone_number": "352-622-4231",
            "fax_number": "352-622-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 S.E. 3RD COURT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710421",
            "telephone_number": "352-622-4231",
            "fax_number": "352-622-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITUMALLA",
        "first_name": "VENKAT",
        "middle_name": "VIKRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301085558",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085558",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME109160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003847100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.