Active NPI
Naga Uk Thatimatla, MD
- Surgery Physician
- Dade City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME120767
- Practice address
- 13933 17TH St Ste 200
Dade City, FL 33525-4604 - Phone
- (352) 437-5971
- Fax
- (352) 437-5974
- NPI assigned
- Jul 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD.32601 | AL | |
| Surgery Physician | 208600000X | ME120767 | FL | Primary |
Addresses
Primary practice location
13933 17TH St Ste 200
Dade City, FL 33525-4604
Mailing address
13933 17TH St Ste 200
Dade City, FL 33525-4604
Phone (352) 437-5971
Other practice location 1
13933 17th St
Suite 200
Dade City, FL 33525-4603
Phone (352) 437-5971
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
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
2700 Healing Way
Wesley Chapel, FL 33543-5453
30115 State Rd
52 Suite 101
San Antonio, FL 33576-8243
Phone (813) 467-4244
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411
Hospital & facility affiliations
- Adventhealth Dade City
- Adventhealth Zephyrhills
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.32601 | AL | MD | Surgery Physician |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Surgery | Current | Accepting new patients |
Locations
13933 17th St
Ste 200
Dade City, FL 33525
Phone (352) 437-5971
13020 Fort King Rd
Ste 107
Dade City, FL 33525
Phone (352) 437-5974
13100 Fort King Rd
Dade City, FL 33525
Phone (352) 521-1100
30115 Highway 52
Ste 101
San Antonio, FL 33576
Phone (813) 467-4244
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- nthatimatla73375@adventhealth.direct-ci.com
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Dade City, FL
- NPI 1215444054
-
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1841503281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13933 17TH ST STE 200",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335254604",
"telephone_number": "352-437-5971",
"fax_number": "352-437-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13933 17TH ST STE 200",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335254604",
"telephone_number": "352-437-5971",
"fax_number": "352-437-5974"
}
],
"practiceLocations": [
{
"address_1": "13933 17th St",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Dade City",
"state": "FL",
"postal_code": "335254603",
"country_code": "US",
"telephone_number": "352-437-5971",
"fax_number": "352-437-5974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THATIMATLA",
"first_name": "NAGA UK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "MD.32601",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME120767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.