Nagarakere R Shankaraiah, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME57808 Issued in FL

Practice address

3112 S Congress Ave
Suite a
Palm Springs, FL 33461

Phone

(561) 964-0110

Fax

(561) 964-0401

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nagarakere Shankaraiah MD

  dba Lake Worth Pediatrics

  • Pediatrics Physician
  • Palm Springs, FL
  • NPI 1588636450
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1801995535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 S CONGRESS AVE",
            "address_2": "SUITE A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-964-0110",
            "fax_number": "561-964-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 S CONGRESS AVE",
            "address_2": "SUITE A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-964-0110",
            "fax_number": "561-964-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKARAIAH",
        "first_name": "NAGARAKERE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME57808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064222302",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250558400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Serrano, AP
• Caleb Sessions
• SFM Urology I LLC
• Debra Shadoff
• Sujal Shah, MD
• Pallavi Shankaraiah, D.O.
• Sreedevi Shankaraiah, D.D.S
• Shannon Optometry P.a. (Shannon Optometry Resources)
• Louis Lee Shapiro, PHYSICAL THERAPIST
• Maheen Tariq Sharfuddin, OD

• Pediatrics Physician in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.