Individual provider Active NPI

Naga Uk Thatimatla, MD

  • Surgery Physician
  • Dade City, FL
National Provider Identifier
1841503281
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME120767 Issued in FL
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140822000929 FL Practitioner - General Surgery 6002065026 Reassigns benefits to 1 organization

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
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

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 Hospital, Dade City, FL, CCN 100211
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux14

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.32601ALMDSurgery Physician

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Surgery CurrentSince Apr 9, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.