Radhika Dasaraju, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME152421 Issued in FL

Practice address

849 Greenway Professional CT
Orlando, FL 32824-9482

Phone

(407) 905-8827

Fax

(407) 660-1667

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: radhika.dasaraju@chcfl.eclinicaldirectplus.com

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.

• Nazim Merchant MD PA

  dba Merchant Pediatrics

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1679246276
  NPD
• Nazim Merchant MD, PA

  dba Merchant Pediatrics

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1366406183
  NPD
• Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winter Garden, FL
  • NPI 1275602476
  NPD (past)
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1366531618
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1902033954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 EGRET TOWER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376197",
            "telephone_number": "407-447-7100",
            "fax_number": "407-447-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 GREENWAY PROFESSIONAL CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328249482",
            "telephone_number": "407-905-8827",
            "fax_number": "407-660-1667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14015 Egret Tower Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328376197",
            "country_code": "US",
            "telephone_number": "407-447-7100 x206",
            "fax_number": "407-447-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASARAJU",
        "first_name": "RADHIKA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125053608",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME152421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036124479",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036124479",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Dart, RD
• Amr Darwish, PHYSICAL THERAPIST
• Laxmichand Daryanani, M.D.
• Daryl D Wier MD PA
• Chandranath L Das, M.D.
• Jaya Dasgupta, MD
• Nathaniel Edward Dash, COTA
• Johnathan Chambless Dasher
• Wallace Dasher III, MS
• Sue Dashtaki, R.D.H.

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.