Active NPI
Navin R Changoor
- Colon & Rectal Surgery Physician
- Davenport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME140880
- Practice address
- 410 Lionel Way
Davenport, FL 33837-7809 - Phone
- (407) 932-6204
- NPI assigned
- Jun 26, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME140880 | FL | |
| Colon & Rectal Surgery Physician | 208C00000X | ME140880 | FL | Primary |
Addresses
Primary practice location
410 Lionel Way
Davenport, FL 33837-7809
Mailing address
15269 Night Heron Dr
Winter Garden, FL 34787-8507
Phone (443) 453-2551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
410 Lionel Way
FL 3
Davenport, FL 33837-7809
Phone (863) 419-2420
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 27 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140880 | FL | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Single Specialty | Current | Accepting new patients |
Locations
410 Lionel Way
Davenport, FL 33837
Phone (352) 432-7200
410 Lionel Way
Fl 3
Davenport, FL 33837
Phone (863) 419-2420
410 Lionel Way
Ste 203
Davenport, FL 33837
Phone (863) 419-8072
410 Celebration Pl
Ste 106
Kissimmee, FL 34747
Phone (407) 303-4829
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2415 N Orange Ave
Ste 300
Orlando, FL 32804
Phone (407) 303-2780
350 1st St N
Fl 2
Winter Haven, FL 33881
Phone (863) 419-2360
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- nchangoor58581@adventhealth.direct-ci.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Single Specialty
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
- General Acute Care Hospital
- Lake Wales, FL
- NPI 1053972760
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1750645651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15269 NIGHT HERON DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347878507",
"telephone_number": "443-453-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 LIONEL WAY",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338377809",
"telephone_number": "407-932-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANGOOR",
"first_name": "NAVIN",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2021-03-22",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME140880",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": "FL",
"license": "ME140880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.