Active NPI
Swapna Kallikadan, M.D.
- Internal Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME117116
- Practice address
- 4331 S Manhattan Ave
Tampa, FL 33611-1303 - Phone
- (813) 832-4569
- Fax
- (833) 974-2491
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME117116 | FL | Primary |
Addresses
Primary practice location
4331 S Manhattan Ave
Tampa, FL 33611-1303
Mailing address
4331 S Manhattan Ave
Tampa, FL 33611-1303
Phone (813) 832-4569
Other practice location 1
2810 W Saint Isabel St
Suite 201
Tampa, FL 33607-6375
Phone (813) 890-8004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009847800 | Medicaid | FL |
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
- Hospitalist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4331 S Manhattan Ave
Tampa, FL 33611-1303
Phone (813) 832-4569
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME117116 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Health & Glow Primary Care & Med Spa LLC | Internal Medicine | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Sun State Hospitalists LLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
4331 S Manhattan Ave
Tampa, FL 33611
Phone (813) 832-4569
2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601
Interoperability endpoints
- skallikadan75678@direct.tgh.org
- https://api.platform.athenahealth.com/22766/brand/1/csg/1/fhir/r4
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- swapna.kallikadan.1@22766.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1912519224
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Internal Medicine
-
- Nephrology Physician
- Belleair, FL
- NPI 1750634556
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1750694584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4331 S MANHATTAN AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336111303",
"telephone_number": "813-832-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4331 S MANHATTAN AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336111303",
"telephone_number": "813-832-4569",
"fax_number": "833-974-2491"
}
],
"practiceLocations": [
{
"address_1": "2810 W Saint Isabel St",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076375",
"country_code": "US",
"telephone_number": "813-890-8004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALLIKADAN",
"first_name": "SWAPNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME117116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009847800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.