Anitha Jagadish, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 80942 Issued in FL

Practice address

2115 SE Lennard Rd
Port Saint Lucie, FL 34952-4742

Phone

(772) 335-1812

Fax

(772) 335-1825

NPI assigned

Dec 7, 2006

Last updated

Dec 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drjagadish@tcp.opdirect.net
• FHIR API: https://fhir-myrecord.cerner.com/r4/e7eee8ee-10a0-491b-8be6-a8be12c18675/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anitha Jagadish M.D, PA

  dba Tender Care Pediatrics

  • Pediatrics Physician
  • Port Saint Lucie, FL
  • NPI 1952538720
  NPD (past) Authorized official

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1982763850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SE LENNARD RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524742",
            "telephone_number": "772-335-1812",
            "fax_number": "772-335-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SE LENNARD RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524742",
            "telephone_number": "772-335-1812",
            "fax_number": "772-335-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGADISH",
        "first_name": "ANITHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 80942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260740900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Jacobs, MSW
• Chantel Tenesia Jacobs, M.D.
• Paul Edward Jacobs, DPT
• Magalie Jacques
• Jade Residence Group Home Inc
• D'Ondre Jaggon, DC
• Jahns Errands Plus, Inc Dba Caring Hearts Senior Services
• Jaishiva PA
• James Thomas Brown, Jr., Crna, Ms, P.a.
• Bjorn James

• Pediatrics Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.