Active NPI
Naveen Punchayil Narayanankutty, MD
- Nephrology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME147708
- Practice address
- 2 Tampa General Cir
Tampa, FL 33606-3571 - Phone
- (813) 974-2201
- Fax
- (813) 974-4325
- NPI assigned
- Nov 30, 2010
- Last updated
- Jul 23, 2021
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD448859 | PA | |
| Nephrology Physician | 207RN0300X | ME147708 | FL | Primary |
Addresses
Primary practice location
2 Tampa General Cir
Tampa, FL 33606-3571
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 974-2201
Other practice location 1
6th Avenue & Spruce Street
West Reading, PA 19611
Phone (484) 628-5455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K19YW | Other | FL | BLUE CROSS BLUE SHIELD |
| 110642600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | npunchayilnarayanankutty189046@direct.tgh.org |
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
- Nephrology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (813) 821-8038
13330 Usf Laurel Dr
Tampa, FL 33612-6601
4202 E Fowler Ave
Tampa, FL 33620-6750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD448859 | PA | MD | Internal Medicine Physician |
| ME147708 | FL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Internal Medicine | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Past | Accepting new patients |
Locations
12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 974-1469
12901 N 30th St
Tampa, FL 33612
Phone (813) 974-0703
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-0929
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
Internal Medicine
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Land O Lakes Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Land O' Lakes, FL
- NPI 1629447784
Dialysis facility
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1871895664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-974-2201",
"fax_number": "813-974-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-974-2201",
"fax_number": "813-974-4325"
}
],
"practiceLocations": [
{
"address_1": "6th Avenue & Spruce Street",
"address_purpose": "LOCATION",
"city": "West Reading",
"state": "PA",
"postal_code": "19611",
"country_code": "US",
"telephone_number": "484-628-5455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUNCHAYIL NARAYANANKUTTY",
"first_name": "NAVEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-30",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD448859",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME147708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "K19YW",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110642600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "npunchayilnarayanankutty189046@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.