Primary Care Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PRIMARY CARE PEDIATRICS, P.A.

Practice address

1507 S Hiawassee Rd
Ste# 105
Orlando, FL 32835-5718

Phone

(407) 445-9224

Fax

(407) 445-6236

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Revati D Narahari, M.D.NPI 1538261144

Title

President

Phone

(407) 445-9224

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Revati D Narahari, M.D.

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1538261144
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760587349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD",
            "address_2": "STE# 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355718",
            "telephone_number": "407-445-9224",
            "fax_number": "407-445-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD",
            "address_2": "STE# 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355718",
            "telephone_number": "407-445-9224",
            "fax_number": "407-445-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NARAHARI",
        "authorized_official_first_name": "REVATI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-445-9224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael David Prim Rivera, DVM
• Primary Care and Wellness Centers of CFL
• Primary Care Nurse Practitioners
• Primary Care of Central Florida Inc
• Primary Care of Orlando, Inc.
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.