Individual provider Active NPI

Ramaswamaiah Chandrasekhara, M.D.

  • Gastroenterology Physician
  • Plant City, FL
National Provider Identifier
1902802325
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME32636 Issued in FL
Practice address
508 N Alexander St
Unit 1
Plant City, FL 33563-3036
Phone
(813) 759-6607
Fax
(813) 759-8997
NPI assigned
Jun 21, 2005
Last updated
Jan 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME32636 FL Primary

Addresses

Primary practice location

508 N Alexander St
Unit 1
Plant City, FL 33563-3036

Mailing address

37908 Daughtery Rd
Suite a
Zephyrhills, FL 33541-1316
Phone (813) 780-8620

Other identifiers 3

IdentifierTypeStateIssuer
271794800MedicaidFL
ME32636OtherFLLICENSE
'037215300MedicaidFL

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
I20050304000695 FL Practitioner - Internal MedicinePractitioner - Gastroenterology 8022062793 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Gastroenterology LLP Gastroenterology CurrentSince Apr 1, 2022 Accepting new patients
Bond Urgent Care LLC Past Accepting new patients
Winter Haven Hospital Inc PastSince Nov 24, 2019 Accepting new patients
Healthpoint Medical Group Inc Gastroenterology PastSince Sep 15, 2014 Accepting new patients

Locations

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

508 N Alexander St
Plant City, FL 33563
Phone (813) 759-6607

508 N Alexander St
Unit 1
Plant City, FL 33563
Phone (813) 759-6607

37908 Daughtery Rd
Ste A
Zephyrhills, FL 33541
Phone (813) 780-8620

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1902802325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37908 DAUGHTERY RD",
            "address_2": "SUITE A",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411316",
            "telephone_number": "813-780-8620",
            "fax_number": "813-780-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N ALEXANDER ST",
            "address_2": "UNIT 1",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633036",
            "telephone_number": "813-759-6607",
            "fax_number": "813-759-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASEKHARA",
        "first_name": "RAMASWAMAIAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME32636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271794800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME32636",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "'037215300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.