Chandra Shekar Babu Anavalamudi Thyagaraj

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11019662 Issued in FL

Practice address

8386 N Missionwood Cir
Miramar, FL 33025-2935

Phone

(954) 683-3617

NPI assigned

Jan 25, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.64 of 100Reported as group

Quality

76.13

Improvement activities

40

Cost

69.23

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  FL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1851007553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8386 N MISSIONWOOD CIR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8386 N MISSIONWOOD CIR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252935",
            "telephone_number": "954-683-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAVALAMUDI THYAGARAJ",
        "first_name": "CHANDRA SHEKAR BABU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11019662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36176139",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Home Health Providers of Broward, Corp.
• Crystal Amilcar, DC
• Faisal Amin, M.D.
• Amy M Zmistowski Inc
• Ana Solis Pediatric Occupational Therapy
• Anchored Crossings, LLC
• Mieralyn Carpio Andaloc, OTR
• Candace Andar, PHARMD
• Stacey Anderson
• Sabrina Edith Andrade, RD

• Pediatric Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.

Verify at the official NPI Registry.