Individual provider Active NPI

Pradip B Baiju, M.D.

  • Interventional Cardiology Physician
  • Orlando, FL
National Provider Identifier
1831192186
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME90104 Issued in FL
Practice address
1277 N Semoran Blvd
Suite 101
Orlando, FL 32807-3569
Phone
(407) 730-8970
Fax
(407) 730-8971
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME90104 FL
Interventional Cardiology Physician 207RI0011X ME90104 FL Primary

Addresses

Primary practice location

1277 N Semoran Blvd
Suite 101
Orlando, FL 32807-3569

Mailing address

PO Box 948479
Maitland, FL 32794-8479

Other identifiers 3

IdentifierTypeStateIssuer
271494900MedicaidFL
37969OtherFLBCBS OF FL PROV #
P01009058OtherFLMEDICARE RAILROAD

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
I20040901000695 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648245688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular Care PAGroup PAC ID 9537333919, 2 clinicians

Practice addresses (Care Compare)

11309 Lake Underhill Rd
Suite 101
Orlando, FL 32825-4427
Phone (407) 730-8970

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal11
Leg revascularization (restoring blood flow)44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care PA Cardiovascular Disease CurrentSince Sep 1, 2011 Accepting new patients
Florida Cardiology PA Cardiovascular Disease Past Accepting new patients
Premier Medical Care P C Past Accepting new patients

Locations

908 W Magnolia St
Kissimmee, FL 34741
Phone (407) 808-5656

793 Health Care Dr
Ste 103
Orange City, FL 32763
Phone (386) 279-0540

11309 Lake Underhill Rd
Ste 101
Orlando, FL 32825

308 E Hazel St
Orlando, FL 32804
Phone (407) 345-8608

1277 N Semoran Blvd
Ste 101
Orlando, FL 32807
Phone (321) 441-0551

1807 Salk Ave
Tavares, FL 32778
Phone (352) 253-2304

Organizations & group practices 3

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 2

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1831192186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 948479",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327948479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 N SEMORAN BLVD",
            "address_2": "SUITE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073569",
            "telephone_number": "407-730-8970",
            "fax_number": "407-730-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIJU",
        "first_name": "PRADIP",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME90104",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME90104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271494900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL PROV #",
            "identifier": "37969",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01009058",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.