AMI SHIDDAPUR MD
NPI 1215630496
Student in an Organized Health Care Education/Training Program in Lutz, FL

Active since March 24, 2023PECOS Enrolled
21808 STATE ROAD 54, LUTZ, FL 33549(813) 922-8621 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ami Shiddapur Md NPPES

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

AMI SHIDDAPUR MD (NPI 1215630496) is an individual student in an organized health care education/training program in Lutz, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215630496
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMI SHIDDAPURCredential: MD
Location Address21808 STATE ROAD 54Lutz, FL 33549-6923
Mailing Address2995 Drew StClearwater, FL 33759-3012 · (727) 315-7496
Sole ProprietorNo
Enumeration DateMarch 24, 2023
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
NPI 1215630496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
21808 STATE ROAD 54, Lutz, FL 33549

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ami Shiddapur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Nurse Practitioner (Psychiatric/Mental Health)
21808 STATE ROAD 54
LUTZ, FL 33549
Psychiatry & Neurology (Psychiatry)
21808 STATE ROAD 54
LUTZ, FL 33549
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549
Student in an Organized Health Care Education/Training Program
21808 STATE ROAD 54
LUTZ, FL 33549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ami Shiddapur's NPI number?

The NPI number for Ami Shiddapur is 1215630496. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Ami Shiddapur located?

Ami Shiddapur practices at 21808 State Road 54, Lutz, FL 33549. The listed phone number is (813) 922-8621.

What is Ami Shiddapur's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ami Shiddapur enrolled in Medicare?

Yes. Ami Shiddapur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ami Shiddapur was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.