Individual provider Active NPI

Swapna Kallikadan, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1750694584
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME117116 Issued in FL
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

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009847800MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131118000599 FL Practitioner - HospitalistPractitioner - Internal Medicine 1759517931 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
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

LicenseStateTypeSpecialty
ME117116FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc CurrentSince Jun 9, 2021 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jun 9, 2021 Accepting new patients
Health & Glow Primary Care & Med Spa LLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Tampa General Hospital Current Accepting new patients
Sun State Hospitalists LLC CurrentSince Sep 30, 2021 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

  • Direct secure messaging: skallikadan75678@direct.tgh.org
  • FHIR API: https://api.platform.athenahealth.com/22766/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.