APOLLO MEDICAL GROUP PA
NPI 1619167111
Internal Medicine in Trinity, FL
About Apollo Medical Group Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
APOLLO MEDICAL GROUP PA (NPI 1619167111) is a healthcare organization registered as an internal medicine in Trinity, Florida and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Jayadeva Chowdappa, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Apollo Medical Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Apollo Medical Group PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2298157
Apollo Medical Group PA · Trinity, FLFrequently 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 Apollo Medical Group PA's NPI number?
The NPI number for Apollo Medical Group PA is 1619167111. It was assigned to this organization in the NPPES registry on July 31, 2007.
Where is Apollo Medical Group PA located?
Apollo Medical Group PA is located at 3535 Little Road, Trinity, FL 34655. The listed phone number is (727) 375-0848.
What is Apollo Medical Group PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Apollo Medical Group PA enrolled in Medicare?
Yes. Apollo Medical Group PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Apollo Medical Group PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Apollo Medical Group PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (3) and Internal Medicine (3). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Apollo Medical Group PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2298157) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Apollo Medical Group PA accept?
Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Apollo Medical Group PA 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 Apollo Medical Group PA was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Apollo Medical Group Pa · NPI 1619167111
Internal Medicine organization in Trinity, Florida. Organization record, active in the CMS NPPES registry since July 31, 2007.
## Identity
- **NPI:** 1619167111 (Entity type: Organization)
- **Enumerated:** July 31, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jayadeva Chowdappa, PRESIDENT
## Practice location
- **Address:** 3535 LITTLE ROAD, Trinity, FL 34655-1811
- **Phone:** (727) 375-0848 · **Fax:** (727) 375-5548
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (3), Internal Medicine (3); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619167111) · Data from the CMS NPPES public registry.