Active NPI
Vinay K Katukuri, MD
- Gastroenterology Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME136923
- Practice address
- 809 E Oak St Ste 201
Kissimmee, FL 34744-5834 - Phone
- (407) 703-3300
- Fax
- (407) 703-3302
- NPI assigned
- Dec 26, 2006
- Last updated
- Aug 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301077924 | MI | |
| Gastroenterology Physician | 207RG0100X | 01094048A | IN | |
| Gastroenterology Physician | 207RG0100X | C141228 | CA | |
| Gastroenterology Physician | 207RG0100X | ME136923 | FL | Primary |
Addresses
Primary practice location
809 E Oak St Ste 201
Kissimmee, FL 34744-5834
Mailing address
9462 Becker CT
Orlando, FL 32827-4304
Phone (407) 518-7277
Other practice location 1
2850 Telegraph Ave Ste 130
Berkeley, CA 94705-1159
Phone (510) 204-8810
Other practice location 2
11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone (260) 266-5230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110F37698 | Other | MI | BCBSM |
| 4673474 | Medicaid | MI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vkatukuri659006@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1036 Mann St
Kissimmee, FL 34741-4121
Phone (407) 518-7277
11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672
Phone (206) 266-5400
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 425-6030
11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6443
Hospital & facility affiliations
- Parkview Regional Medical Center
- HCA Florida Osceola Hospital
- Ucf Lake Nona Hospital
- Adventhealth Orlando
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 79 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 205 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Family Medicine | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Parkview Health System,Inc. | Internal Medicine | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Family Medicine | Current | Accepting new patients |
| Advanced Medical Group of Central Florida, LLC | Gastroenterology | Current | Accepting new patients |
| Parkview Health System Inc | Family Medicine | Current | Accepting new patients |
| Saxon Medical Group, P.a. | Gastroenterology | Past | Accepting new patients |
| Nkare, LLC | Past | Accepting new patients | |
| Sand Lake Cancer Center | Past | Accepting new patients | |
| Acute Patient Care Inc | Past | Accepting new patients |
Locations
1036 Mann St
Kissimmee, FL 34741
Phone (407) 518-7277
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
13807 Landstar Blvd
Ste 142
Orlando, FL 32824
Phone (407) 518-7277
522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975
11104 Parkview Circle Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-5230
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEBHCA/Endpoint/EEBHCA
- vinay.katukuri@sax.eclinicaldirectplus.com
- vkatukuri178995@orlandohealth.medalliesdirect.net
- vkatukuri659006@direct.parkviewexchange.com
Organizations & group practices 11
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.
-
dba Advanced Gastroenterology of Central Florida
- Gastroenterology Physician
- Kissimmee, FL
- NPI 1780149120
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
dba AdventHealth Medical Group Cardiology & Vascular Medicine at Wauchula
- Family Medicine Physician
- Wauchula, FL
- NPI 1578725941
-
dba AdventHealth Medical Group Breast Surgery, Ear Nose & Throat, General Surgery at Sun N Lake
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
Family Medicine
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba Parkview Physicians Group
- Gastroenterology Physician
- Fort Wayne, IN
- NPI 1437461449
Internal Medicine
-
- Psychiatry Physician
- Kissimmee, FL
- NPI 1942152640
-
- Interventional Cardiology Physician
- Kissimmee, FL
- NPI 1619632015
-
- Infusion Therapy Clinic/Center
- Orlando, FL
- NPI 1821028804
-
dba Tabrez Gastroenterology Consultants
- Gastroenterology Physician
- Kissimmee, FL
- NPI 1477819704
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba HCA Florida Osceola Hospital
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1689621450
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1992860597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9462 BECKER CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328274304",
"telephone_number": "407-518-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 E OAK ST STE 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445834",
"telephone_number": "407-703-3300",
"fax_number": "407-703-3302"
}
],
"practiceLocations": [
{
"address_1": "2850 Telegraph Ave Ste 130",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947051159",
"country_code": "US",
"telephone_number": "510-204-8810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11104 Parkview Circle Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451733",
"country_code": "US",
"telephone_number": "260-266-5230",
"fax_number": "260-458-5972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATUKURI",
"first_name": "VINAY",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301077924",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01094048A",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C141228",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME136923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "110F37698",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4673474",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vkatukuri659006@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11104 Parkview Circle Dr Ste 310",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451733",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11104 Parkview Circle Dr Ste 310",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451733",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11104 Parkview Circle Dr Ste 310",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451733",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.