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DR. PRITI PURUSHOTHAMAN MD
NPI 1245487743
Psychiatry & Neurology - Child & Adolescent Psychiatry in Orlando, FL

Active since August 26, 2008PECOS EnrolledAccepts Medicare Assignment
14 W GORE ST, ORLANDO, FL 32806(321) 841-9893(321) 841-9895 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2025, Oct 14, 2016 (2 updates tracked since 2016).

About Dr. Priti Purushothaman Md NPPES

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

DR. PRITI PURUSHOTHAMAN MD (NPI 1245487743) is an individual child & adolescent psychiatry provider in Orlando, Florida, licensed in Florida (ME142776) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1245487743
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. PRITI PURUSHOTHAMANCredential: MD
Location Address14 W GORE STOrlando, FL 32806-1114
Mailing Address14 W Gore StOrlando, FL 32806-1114 · (321) 841-9893 · Fax (321) 841-9895
Phone(321) 841-9893
Fax(321) 841-9895
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 26, 2008
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1245487743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in FL · ME142776
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
14 W GORE ST, Orlando, FL 32806
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Secondary Practice Location 1

Location 13801 Avalon Park East Blvd Fl 2Orlando, FL 32828-4900 · Phone (407) 488-7266

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Priti Purushothaman 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 ID5294014262
PECOS Enrollment IDI20260602002046
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.

Medicare Billing Reassignment

Medicare enrollment records show Priti Purushothaman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orlando Health Medical Group Inc
0.3 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

BRIZEL H. TRINIDAD PSYD
Psychologist (Clinical)
14 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-5725
HEATHER LEVINE RD
Dietitian, Registered
14 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-1179
GREGORY JOHN VITALE PSYD
Psychologist (Clinical)
14 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-5725
DR. VIKRAM SHIVKUMAR M.D.
Psychiatry & Neurology (Neurology)
14 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-2500
NAOIR ZAHER MD
Psychiatry & Neurology (Neurology)
14 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-2500
DAYRA LICIER-OQUENDO M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
14 W GORE ST
ORLANDO, FL 32806
Orange County (321) 842-6671
MELISSA N. IEM RD
Dietitian, Registered
14 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-2800
GEETHA VYAS MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
14 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-9893

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 Priti Purushothaman's NPI number?

The NPI number for Priti Purushothaman is 1245487743. It was assigned to this individual provider in the NPPES registry on August 26, 2008.

Where is Priti Purushothaman located?

Priti Purushothaman practices at 14 W Gore St, Orlando, FL 32806. The listed phone number is (321) 841-9893.

What is Priti Purushothaman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Priti Purushothaman enrolled in Medicare?

Yes. Priti Purushothaman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Priti Purushothaman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priti Purushothaman reassigns Medicare benefits to Orlando Health Medical Group Inc (Orlando, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priti Purushothaman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priti Purushothaman accept?

Health plans from AvMed, CareSource, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Priti Purushothaman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Priti Purushothaman was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.