Individual provider Active NPI

Vijayalakshmi Polavarapu, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1790766756
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME91019 Issued in FL
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
270395500MedicaidFL

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
I20041004000191 FL Practitioner - Internal MedicinePractitioner - Family Practice 3971562265 Reassigns benefits to 3 organizations

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
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians

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 Hospital, Leesburg, FL, CCN 100084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME91019FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC CurrentSince Mar 11, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 1, 2015 Accepting new patients
Cogent Healthcare of Pensacola LLC Family Medicine CurrentSince Mar 11, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 1, 2015 Accepting new patients
Inpatient Care Specialists LLC CurrentSince Jul 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.