UMAKUMARAN P PONNIAH MD
NPI 1093784746
Pediatrics - Pediatric Cardiology in Jacksonville, FL

Q: What is Umakumaran Ponniah's NPI number?

The NPI number for Umakumaran Ponniah is 1093784746. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Q: What is Umakumaran Ponniah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment

841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207(904) 202-8550(904) 393-7808 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2024, Mar 3, 2023 (2 updates tracked since 2023).

On this page

About Umakumaran P Ponniah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UMAKUMARAN P PONNIAH MD (NPI 1093784746) is an individual pediatric cardiology provider in Jacksonville, Florida, licensed in Florida (ME163207) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1093784746

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameUMAKUMARAN P PONNIAHCredential: MD

Location Address841 PRUDENTIAL DR STE 280Jacksonville, FL 32207-8350

Mailing AddressPo Box 746645Atlanta, GA 30374-6645 · (904) 376-4083 · Fax (904) 391-5075

Phone(904) 202-8550

Fax(904) 393-7808

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateMarch 15, 2006

Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1093784746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in FL · ME163207✔ Licensed in OK · 24624

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

841 PRUDENTIAL DR STE 280, Jacksonville, FL 32207

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Umakumaran P Ponniah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193787729

PECOS Enrollment IDI20230816004480

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA E MENDOZA CRESPO MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)