Active NPI
Shanta Arumbakam Purushotham, MD
- Rheumatology Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME66516
- Practice address
- 711 Harvard Street
Brooksville, FL 34601 - Phone
- (352) 799-0135
- Fax
- (352) 754-5394
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME66516 | FL | Primary |
Addresses
Primary practice location
711 Harvard Street
Brooksville, FL 34601
Mailing address
711 Harvard St
Brooksville, FL 34601-2842
Phone (352) 799-0135
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
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
711 Harvard St
Brooksville, FL 34601-2842
Phone (352) 799-0135
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Shanta a Purushotham MD PA | Rheumatology | Current | Accepting new patients |
Locations
711 Harvard St
Brooksville, FL 34601
Phone (352) 799-0135
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- spurushotham296235@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rheumatology Physician
- Brooksville, FL
- NPI 1790729044
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Encompass Health Rehabilitation Hospital of Spring Hill
- Rehabilitation Hospital
- Brooksville, FL
- NPI 1699740373
Inpatient rehabilitation facility
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
dba Tampa General Hospital Brooksville
- General Acute Care Hospital
- Brooksville, FL
- NPI 1063294197
-
dba Tampa General Hospital Spring Hill
- General Acute Care Hospital
- Spring Hill, FL
- NPI 1275305013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1881793495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 HARVARD ST",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346012842",
"telephone_number": "352-799-0135",
"fax_number": "352-754-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 HARVARD STREET",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "34601",
"telephone_number": "352-799-0135",
"fax_number": "352-754-5394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURUSHOTHAM",
"first_name": "SHANTA",
"middle_name": "ARUMBAKAM",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME66516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.