Individual provider Active NPI

Venkat Pradeepkumar Amara, M.D.

  • Nephrology Physician
  • Hollywood, FL
National Provider Identifier
1972808483
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME118739 Issued in FL
Practice address
3854 Sheridan St Ste a
Hollywood, FL 33021-3630
Phone
(954) 966-3018
Fax
(954) 966-5249
NPI assigned
Jan 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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 ME118739 FL Primary

Addresses

Primary practice location

3854 Sheridan St Ste a
Hollywood, FL 33021-3630

Mailing address

3854 Sheridan St Ste a
Hollywood, FL 33021-3630
Phone (954) 966-3018

Other identifiers 1

IdentifierTypeStateIssuer
012855300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vamara31762@direct.acumenmd.com

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
I20141112000913 FL Practitioner - NephrologyPractitioner - Internal Medicine 2264604610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Florida Kidney Care LLCGroup PAC ID 7911129747, 4 clinicians

Practice addresses (Care Compare)

3854 Sheridan St
Suite a
Hollywood, FL 33021-3630
Phone (954) 966-3018

Hospital & facility affiliations

  • Fresenius Kidney Care Pembroke Pines Dialysis facility, Pembroke Pines, FL, CCN 682671
  • Fresenius Kidney Care Southern Broward Dialysis facility, Hollywood, FL, CCN 682662
  • DaVita Pembroke Pines Dialysis Dialysis facility, Pembroke Pines, FL, CCN 102647
  • DaVita South Florida Dialysis Dialysis facility, Hollywood, FL, CCN 102680
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME118739FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Kidney Care LLC Nephrology CurrentSince Jul 21, 2014 Accepting new patients

Locations

4060 Sheridan St
Ste B
Hollywood, FL 33021
Phone (954) 966-3018

3854 Sheridan St
Ste A
Hollywood, FL 33021
Phone (954) 326-0603

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
  • Direct secure messaging: vamara31762@direct.acumenmd.com

Organizations & group practices 1

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 7

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1972808483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213630",
            "telephone_number": "954-966-3018",
            "fax_number": "954-966-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213630",
            "telephone_number": "954-966-3018",
            "fax_number": "954-966-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARA",
        "first_name": "VENKAT",
        "middle_name": "PRADEEPKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME118739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012855300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vamara31762@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "3854 Sheridan St Ste A",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330213630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.