Active NPI
Vijayalakshmi Polavarapu, M.D.
- Family Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME91019
- Practice address
- 6350 W Colonial Dr
Orlando, FL 32818-7823 - Phone
- (407) 281-1755
- Fax
- (407) 282-6871
- NPI assigned
- Nov 8, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME91019 | FL | Primary |
Addresses
Primary practice location
6350 W Colonial Dr
Orlando, FL 32818-7823
Mailing address
PO Box 616788
Orlando, FL 32861-6788
Phone (407) 447-7105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270395500 | 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
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
502 W Highland Blvd
Inverness, FL 34452-4720
Phone (407) 647-2346
600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (407) 647-2346
Hospital & facility affiliations
- Uf Health Leesburg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME91019 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Pensacola LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Family Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Inpatient Care Specialists LLC | Current | Accepting new patients |
Locations
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
Interoperability endpoints
- vpolavarapu563806@direct.shands.ufl.edu
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Lake Mary, FL
- NPI 1679817134
-
- Internal Medicine Physician
- Jacksonville Beach, FL
- NPI 1346287182
Family Medicine
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1427631696
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790766756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 616788",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328616788",
"telephone_number": "407-447-7105",
"fax_number": "407-770-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 W COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328187823",
"telephone_number": "407-281-1755",
"fax_number": "407-282-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAVARAPU",
"first_name": "VIJAYALAKSHMI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME91019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270395500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.