Individual provider Active NPI

Renuka Swaminathan, MD PA

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1891792453
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME77982 Issued in FL
Practice address
150 SE 17TH St
Ste 504
Ocala, FL 34471-5176
Phone
(352) 629-2250
Fax
(352) 629-0056
NPI assigned
Jun 28, 2005
Reactivated
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME77982 FL Primary

Addresses

Primary practice location

150 SE 17TH St
Ste 504
Ocala, FL 34471-5176

Mailing address

150 SE 17TH St
Ste 504
Ocala, FL 34471-5176
Phone (352) 629-2250

Other identifiers 1

IdentifierTypeStateIssuer
261003500MedicaidFL

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
I20100216000111 FL Practitioner - Family Practice 9032253901 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renuka Swaminathan M.D.,P.a Family Medicine CurrentSince Feb 16, 2010 Accepting new patients
Major Hospital Past Accepting new patients
K Swaminathan M.D., P.a. PastSince Jun 28, 2001 Accepting new patients

Locations

150 SE 17th St
Ste 504
Ocala, FL 34471
Phone (352) 629-2250

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1891792453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SE 17TH ST",
            "address_2": "STE 504",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715176",
            "telephone_number": "352-629-2250",
            "fax_number": "352-629-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SE 17TH ST",
            "address_2": "STE 504",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715176",
            "telephone_number": "352-629-2250",
            "fax_number": "352-629-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAMINATHAN",
        "first_name": "RENUKA",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-05-28",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME77982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261003500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.