Individual provider Active NPI

Sharad Malavade, MD

  • Internal Medicine Physician
  • Brandon, FL
National Provider Identifier
1871970608
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
TRN#21199 Issued in FL
Practice address
119 Oakfield Drive
Brandon, FL 33511
Phone
(813) 571-6451
NPI assigned
Apr 30, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN#21199 FL Primary

Addresses

Primary practice location

119 Oakfield Drive
Brandon, FL 33511

Mailing address

119 Oakfield Drive
Brandon, FL 33511
Phone (813) 571-6451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231002003650 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 9032410410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Priyanka Uppal MD PAGroup PAC ID 0244575488, 8 clinicians

Practice addresses (Care Compare)

13080 Dallas Pkwy
Suite 320
Frisco, TX 75033-4242
Phone (469) 421-1777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN#21199FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Priyanka Uppal MD PA CurrentSince Sep 1, 2023 Accepting new patients
The Metrohealth System Current Accepting new patients
Womens Specialty Center PA PastSince Sep 1, 2023 Accepting new patients

Locations

13080 Dallas Pkwy
Ste 320
Frisco, TX 75033
Phone (214) 396-8877

Interoperability endpoints

  • Direct secure messaging: smalavade144284@direct.metrohealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1871970608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 OAKFIELD DRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-571-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 OAKFIELD DRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-571-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVADE",
        "first_name": "SHARAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN#21199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.