Individual provider Active NPI

Rajendra S. Baliga, M.D.

  • Nephrology Physician
  • Tampa, FL
National Provider Identifier
1932103264
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME82461 Issued in FL
Practice address
4710 N Habana Ave Ste 107
Tampa, FL 33614-7143
Phone
(813) 910-8708
Fax
(855) 852-7153
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME82461 FL Primary

Addresses

Primary practice location

4710 N Habana Ave Ste 107
Tampa, FL 33614-7143

Mailing address

12662 Telecom Dr
Temple Terrace, FL 33637-0935
Phone (813) 910-8708

Other practice location 1

12662 Telecom Dr
Temple Terrace, FL 33637-0935
Phone (813) 910-8708

Other practice location 2

12662 Telecom Dr
Temple Terrace, FL 33637-0935
Phone (813) 910-8708

Other practice location 3

409 Bayshore Blvd Fl 4
Tampa, FL 33606-2707
Phone (813) 910-8708

Other identifiers 1

IdentifierTypeStateIssuer
269733500MedicaidFL

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
I20040618000473 FL Practitioner - Nephrology 1153306865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

409 Bayshore Blvd
FL 4
Tampa, FL 33606-2707
Phone (813) 910-8708

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Oct 11, 2016 Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Oct 11, 2016 Accepting new patients
Lifelink Healthcare Institute Inc Past Accepting new patients

Locations

2501 Paul Buchman Hwy
Ste A
Plant City, FL 33563

409 Bayshore Blvd
Tampa, FL 33606
Phone (813) 253-2640

4710 N Habana Ave
Ste 107
Tampa, FL 33614
Phone (813) 870-3767

409 Bayshore Blvd
Fl 4
Tampa, FL 33606
Phone (813) 910-8708

3419 N Lakeview Dr
Tampa, FL 33618
Phone (813) 844-7600

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

27802 Summergate Blvd
Wesley Chapel, FL 33544

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rajendra.baliga.1@15644.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rbaliga8203@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932103264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12662 TELECOM DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370935",
            "telephone_number": "813-910-8708",
            "fax_number": "855-852-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE STE 107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147143",
            "telephone_number": "813-910-8708",
            "fax_number": "855-852-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12662 Telecom Dr",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370935",
            "country_code": "US",
            "telephone_number": "813-910-8708",
            "fax_number": "855-852-7153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12662 Telecom Dr",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370935",
            "country_code": "US",
            "telephone_number": "813-910-8708",
            "fax_number": "855-852-7153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 Bayshore Blvd Fl 4",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336062707",
            "country_code": "US",
            "telephone_number": "813-910-8708",
            "fax_number": "855-852-7153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALIGA",
        "first_name": "RAJENDRA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME82461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269733500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.