Individual provider Active NPI

Ujwala Pagedar, MD, CIC

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1871627331
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME152782 Issued in FL
Practice address
520 N Falkenburg Rd
Tampa, FL 33619-7884
Phone
(813) 422-5509
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.091261 OH
Internal Medicine Physician 207R00000X ME152782 FL Primary

Addresses

Primary practice location

520 N Falkenburg Rd
Tampa, FL 33619-7884

Mailing address

6767 Greenspire Dr
Lewis Center, OH 43035-7956
Phone (937) 286-6314

Other identifiers 2

IdentifierTypeStateIssuer
2980645MedicaidOH
PA4273241OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20091007000770 OH Practitioner - Internal Medicine 5193861953 Reassigns benefits to 1 organization

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
ME152782FLMDInternal Medicine Physician
35.091261OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imani Works Corporation Internal Medicine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1871627331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 GREENSPIRE DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357956",
            "telephone_number": "937-286-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N FALKENBURG RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197884",
            "telephone_number": "813-422-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGEDAR",
        "first_name": "UJWALA",
        "name_prefix": "Mrs.",
        "credential": "MD, CIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.091261",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME152782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2980645",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "PA4273241",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.