Individual provider Active NPI

Sneha Rao Adidam, M.D.

  • Gastroenterology Physician
  • Minneola, FL
National Provider Identifier
1912529975
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME174457 Issued in FL
Practice address
1820 N Hancock Rd Ste 201
Minneola, FL 34715-8182
Phone
(352) 201-3407
Fax
(352) 717-3748
NPI assigned
May 13, 2020
Reactivated
Feb 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 ME174457 FL Primary

Addresses

Primary practice location

1820 N Hancock Rd Ste 201
Minneola, FL 34715-8182

Mailing address

1820 N Hancock Rd Ste 201
Minneola, FL 34715-8182
Phone (352) 201-3407

Other practice location 1

1800 N Hancock Rd
Minneola, FL 34715-8184
Phone (689) 289-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1820 N Hancock Rd
Suite 201
Minneola, FL 34715-8182

900 Hope Way
Attn Managed Care
Altamonte Springs, FL 32714-1502

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1912529975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N HANCOCK RD STE 201",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347158182",
            "telephone_number": "352-201-3407",
            "fax_number": "352-717-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N HANCOCK RD STE 201",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347158182",
            "telephone_number": "352-201-3407",
            "fax_number": "352-717-3748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Hancock Rd",
            "address_purpose": "LOCATION",
            "city": "Minneola",
            "state": "FL",
            "postal_code": "347158184",
            "country_code": "US",
            "telephone_number": "689-289-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADIDAM",
        "first_name": "SNEHA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "deactivation_date": "2022-01-17",
        "reactivation_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME174457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneola, FL

Sources for this page

Verify at the official NPI Registry.