Individual provider Active NPI

Koteswararao Vemuri, M.D.

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1922100346
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME162768 Issued in FL
Practice address
461 W Oak St Ste a
Kissimmee, FL 34741-6624
Phone
(407) 846-8600
Fax
(407) 846-2301
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME162768 FL Primary

Addresses

Primary practice location

461 W Oak St Ste a
Kissimmee, FL 34741-6624

Mailing address

461 W Oak St Ste a
Kissimmee, FL 34741-6624
Phone (407) 846-8600

Other identifiers 1

IdentifierTypeStateIssuer
04684638MedicaidMI

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
I20231026004287 FL Practitioner - Family Practice 7113816943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians
Wellmed Medical Management of Florida IncGroup PAC ID 3971678558, 158 clinicians

Practice addresses (Care Compare)

461 W Oak St a
Optum Kissimmee
Kissimmee, FL 34741-6624
Phone (407) 846-8600

960 58TH St N
Wellmed at Tyrone Gardens
St. Petersburg, FL 33710-6325
Phone (727) 820-7778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162768FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince Feb 1, 2026 Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Wellmed Medical Management of Florida Inc CurrentSince Aug 18, 2025 Accepting new patients
Town Center Family Practice Inc CurrentSince Oct 1, 2023 Accepting new patients
Town Center Family Practice Inc CurrentSince Oct 1, 2023 Accepting new patients
McLaren Flint Internal Medicine Past Accepting new patients
Florida Health Care Plan, Inc PastSince Dec 1, 2023 Accepting new patients
McLaren Flint Past Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

461 W Oak St
Ste A
Kissimmee, FL 34741
Phone (407) 846-8600

1642 N Volusia Ave
Orange City, FL 32763
Phone (386) 232-9288

1043 Town Center Dr
Orange City, FL 32763
Phone (386) 456-3121

960 58th St N
St Petersburg, FL 33710
Phone (727) 820-7778

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBCAA

Organizations & group practices 8

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1922100346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W OAK ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416624",
            "telephone_number": "407-846-8600",
            "fax_number": "407-846-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W OAK ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416624",
            "telephone_number": "407-846-8600",
            "fax_number": "407-846-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEMURI",
        "first_name": "KOTESWARARAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME162768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04684638",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.