Individual provider Active NPI

Vinay K Katukuri, MD

  • Gastroenterology Physician
  • Kissimmee, FL
National Provider Identifier
1992860597
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME136923 Issued in FL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110F37698OtherMIBCBSM
4673474MedicaidMI

Electronic endpoints 3

TypeEndpointUseAffiliation
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, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190830000604 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 2365490323 Reassigns benefits to 3 organizations
I20240808001682 IN Practitioner - Gastroenterology 2365490323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Upper gastrointestinal (GI) endoscopy for acid reflux205

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Apr 22, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine CurrentSince Apr 22, 2024 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Parkview Health System,Inc. Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine CurrentSince Apr 22, 2024 Accepting new patients
Advanced Medical Group of Central Florida, LLC Gastroenterology CurrentSince Nov 26, 2018 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 PastSince Feb 9, 2019 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEBHCA/Endpoint/EEBHCA
  • Direct secure messaging: vinay.katukuri@sax.eclinicaldirectplus.com
  • Direct secure messaging: vkatukuri178995@orlandohealth.medalliesdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.