Individual provider Active NPI

Anuj Vinay Mehindru, MD

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1801474713
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME169004 Issued in FL
Practice address
2805 54TH Ave N Ste 500
St Petersburg, FL 33714-2414
Phone
(727) 341-5800
Fax
(727) 341-5307
NPI assigned
Mar 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 ME169004 FL Primary

Addresses

Primary practice location

2805 54TH Ave N Ste 500
St Petersburg, FL 33714-2414

Mailing address

2805 54TH Ave N Ste 500
St Petersburg, FL 33714-2414
Phone (727) 341-5800

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
I20240712003517 FL Practitioner - Internal Medicine 7517368814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Senior Medical Center of Florida, LLCGroup PAC ID 4486932100, 56 clinicians

Practice addresses (Care Compare)

901 22ND Ave S
Chen Central FL Holdings LLC
St Petersburg, FL 33705-2933
Phone (727) 219-1833

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME169004FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Centers of Florida, LLC CurrentSince Jul 21, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2805 54th Ave N
Ste 500
St Petersburg, FL 33714
Phone (727) 341-5800

901 22nd Ave S
St Petersburg, FL 33705
Phone (727) 310-0925

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1801474713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 54TH AVE N STE 500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142414",
            "telephone_number": "727-341-5800",
            "fax_number": "727-341-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 54TH AVE N STE 500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142414",
            "telephone_number": "727-341-5800",
            "fax_number": "727-341-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHINDRU",
        "first_name": "ANUJ",
        "middle_name": "VINAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME169004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.