Active NPI
Radiant Rheumatology LLC
- Rheumatology Physician
- Clermont, FL
National Provider Identifier
1891679486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- RADIANT RHEUMATOLOGY LLC
- Practice address
- 2105 Hartwood Marsh Rd Ste 3
Clermont, FL 34711-5390 - Phone
- (347) 216-5347
- NPI assigned
- Aug 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shubha Kollampare, MD
- Title
- Owner
- Phone
- (352) 810-9073
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
2105 Hartwood Marsh Rd Ste 3
Clermont, FL 34711-5390
Mailing address
11538 Delwick Dr
Windermere, FL 34786-6073
Phone (347) 216-5347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1891679486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11538 DELWICK DR",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866073",
"telephone_number": "347-216-5347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 HARTWOOD MARSH RD STE 3",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347115390",
"telephone_number": "347-216-5347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT RHEUMATOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-05",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "KOLLAMPARE",
"authorized_official_first_name": "SHUBHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-810-9073",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.