Individual provider Active NPI

Shanta Arumbakam Purushotham, MD

  • Rheumatology Physician
  • Brooksville, FL
National Provider Identifier
1881793495
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME66516 Issued in FL
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

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080903000272 FL Practitioner - Internal Medicine 6800962564 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Shanta a Purushotham MD PA Rheumatology CurrentSince Jul 28, 2008 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

  • Direct secure messaging: spurushotham296235@direct.tgh.org
  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.