Individual provider Active NPI

Dines Chandra Das, MD

  • Cardiovascular Disease Physician
  • Kissimmee, FL
National Provider Identifier
1942281944
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
19806 Issued in FL
Practice address
901 E Oak St
Ste a
Kissimmee, FL 34744-5837
Phone
(407) 846-1044
Fax
(407) 846-3523
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 19806 FL Primary
Pulmonary Disease Physician 207RP1001X 19806 FL

Addresses

Primary practice location

901 E Oak St
Ste a
Kissimmee, FL 34744-5837

Mailing address

901 E Oak St
Ste a
Kissimmee, FL 34744-5837
Phone (407) 846-1044

Other identifiers 1

IdentifierTypeStateIssuer
058581500MedicaidFL

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
I20100416000538 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Pulmonary Disease 3678600038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19806FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1942281944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E OAK ST",
            "address_2": "STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445837",
            "telephone_number": "407-846-1044",
            "fax_number": "407-846-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E OAK ST",
            "address_2": "STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445837",
            "telephone_number": "407-846-1044",
            "fax_number": "407-846-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "DINES",
        "middle_name": "CHANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "19806",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "19806",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058581500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.