NPIMap

Individual provider Active NPI

Lalita Thatte, MD

  • Nephrology Physician
  • Port Charlotte, FL
National Provider Identifier
1982651337
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME0064198 Issued in FL
Practice address
3300 Tamiami Trail
Suite 101a
Port Charlotte, FL 33952-8054
Phone
(941) 629-4676
Fax
(941) 629-1522
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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 ME0064198 FL Primary

Addresses

Primary practice location

3300 Tamiami Trail
Suite 101a
Port Charlotte, FL 33952-8054

Mailing address

3300 Tamiami Trail
Suite 101a
Port Charlotte, FL 33952-8054
Phone (941) 629-4676

Other identifiers 1

IdentifierTypeStateIssuer
250933400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001419 FL Practitioner - Nephrology 0648325282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Foreign Dental Schools, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Nephrology Associates PAGroup PAC ID 8325183569, 4 clinicians

Practice addresses (Care Compare)

3300 Tamiami TRL
Suite 101a
Port Charlotte, FL 33952-8054
Phone (941) 629-4676

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0064198FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Nephrology Associates PA Nephrology CurrentSince Oct 1, 1998 Accepting new patients

Locations

3300 Tamiami Trl
Ste 101A
Pt Charlotte, FL 33952
Phone (941) 625-9985

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72796
  • Direct secure messaging: l.thatte@cna.directbygreenway.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 6

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1982651337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TAMIAMI TRAIL",
            "address_2": "SUITE 101A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528054",
            "telephone_number": "941-629-4676",
            "fax_number": "941-629-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TAMIAMI TRAIL",
            "address_2": "SUITE 101A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528054",
            "telephone_number": "941-629-4676",
            "fax_number": "941-629-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATTE",
        "first_name": "LALITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0064198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250933400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.