Organization Active NPI

Dhiraj Warman MD PA

  • Cardiovascular Disease Physician
  • Spring Hill, FL
National Provider Identifier
1861713018
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME68576 Issued in FL
Legal business name
DHIRAJ WARMAN MD PA
Practice address
10441 Quality Dr Ste 300
Spring Hill, FL 34609-9650
Phone
(352) 683-3136
Fax
(352) 683-3160
NPI assigned
Jun 22, 2010
Last updated
Jul 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. Dhiraj Warman, MD PANPI 1184787509
Title
Physician/Owner
Phone
(352) 683-3136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN14394 FL
Cardiovascular Disease Physician 207RC0000X ME68576 FL Primary

Addresses

Primary practice location

10441 Quality Dr Ste 300
Spring Hill, FL 34609-9650

Mailing address

PO Box 340609
Tampa, FL 33694-0609
Phone (352) 683-3136

Other identifiers 3

IdentifierTypeStateIssuer
260742500MedicaidFL
ME68576OtherFLMEDICAL LICENSE
DN14394OtherFLDENTIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110112000985 FL Part B Supplier - Clinic/Group Practice 8628267291 Receives reassigned benefits from 2 practitioners
Practice locations: Spring Hill, FL

National Provider Directory

National Provider Directory

Locations

10441 Quality Dr
Ste 300
Spring Hill, FL 34609
Phone (352) 683-3136

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1861713018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340609",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336940609",
            "telephone_number": "352-683-3136",
            "fax_number": "352-683-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 QUALITY DR STE 300",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099650",
            "telephone_number": "352-683-3136",
            "fax_number": "352-683-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHIRAJ WARMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "WARMAN",
        "authorized_official_first_name": "DHIRAJ",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "352-683-3136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14394",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME68576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260742500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME68576",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "DN14394",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.