Gopal Tatambhotla, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME72857 Issued in FL

Practice address

534 N Lecanto Hwy
Lecanto, FL 34461-8547

Phone

(352) 527-9500

Fax

(352) 527-7215

NPI assigned

Dec 29, 2006

Last updated

Mar 23, 2017By the provider in NPPES

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Howard University College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023
• Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

97.76

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gtatambhotla297008@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://fhir4.healow.com/fhir/r4/IACJBA

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.

• Gopal Tatambhotla MD PA

  • Neurology Physician
  • Lecanto, FL
  • NPI 1679887988
  Medicare reassignment NPD Authorized official
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Citrus Cardiology Consultants, PLLC

  • Cardiac Rehabilitation Clinic/Center
  • Lecanto, FL
  • NPI 1851241913
  NPD (past)
• Citrus Neuroscience Institute P.a

  • Specialist
  • Hernando, FL
  • NPI 1932306495
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citrus Memorial Hospital, Inc.

  dba HCA Florida Citrus Hospital

  • General Acute Care Hospital
  • Inverness, FL
  • NPI 1750780342
  Care Compare affiliation
• Tampa General Hospital Citrus LLC

  dba Tampa General Hospital Crystal River

  • General Acute Care Hospital
  • Crystal River, FL
  • NPI 1407637531
  Care Compare affiliation

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1881750073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344600700",
            "telephone_number": "352-527-9500",
            "fax_number": "352-527-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618547",
            "telephone_number": "352-527-9500",
            "fax_number": "352-527-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATAMBHOTLA",
        "first_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME72857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252002800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun MD PLLC
• Suncoast Anesthesia LLC
• Suncoast Dermatology and Skin Surgery Center, PA
• Surrey Place of Lacanto LLC (Diamond Ridge Health & Rehabilitation Center)
• Tampa Vamc
• Carmenetta Alicia Terrell, BS
• The Achievement Center of Citrus County, P.a.
• The Orthopaedic Institute, PA (Citrus Orthopaedic and Joint Institute)
• The Orthopaedic Institute, PA (Citrus Orthopaedic and Joint Institute)
• Thomas Salinas, DDS, PA (Timberlane Family Dentistry)

• Neurology Physician in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.