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SHANTA A PURUSHOTHAM MD PA
NPI 1790729044
Internal Medicine - Rheumatology in Brooksville, FL

Active since June 16, 2006
711 HARVARD ST, BROOKSVILLE, FL 34601(352) 799-0135(352) 754-5394 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shanta A Purushotham Md Pa NPPES

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

SHANTA A PURUSHOTHAM MD PA (NPI 1790729044) is a healthcare organization registered as a rheumatology in Brooksville, Florida and active in the NPI registry since June 2006. The organization lists Shanta A Purushotham, Md, as its authorized official.

NPPES Registry Identity

NPI1790729044
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameSHANTA A PURUSHOTHAM MD PA
Location Address711 HARVARD STBrooksville, FL 34601-2842
Mailing Address711 Harvard StBrooksville, FL 34601-2842 · (352) 799-0135 · Fax (352) 754-5394
Phone(352) 799-0135
Fax(352) 754-5394
Organization SubpartNo
Authorized OfficialShanta A PurushothamMd · (352) 799-0135
Enumeration DateJune 16, 2006
Last NPPES UpdateSeptember 23, 2011
✔ NPI 1790729044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
711 HARVARD ST, Brooksville, FL 34601
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Other Identifiers 2

Medicare PIN26094AFL
Medicaid376671300FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanta A Purushotham Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shanta A Purushotham MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shanta Purushotham, MD
Internal Medicine
NPI 1881793495
711 HARVARD STREET
Brooksville, FL 34601
(352) 799-0135
✔ PECOS✔ Accepts MedicareSame address

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

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 Shanta A Purushotham MD PA's NPI number?

The NPI number for Shanta A Purushotham MD PA is 1790729044. It was assigned to this organization in the NPPES registry on June 16, 2006.

Where is Shanta A Purushotham MD PA located?

Shanta A Purushotham MD PA is located at 711 Harvard St, Brooksville, FL 34601. The listed phone number is (352) 799-0135.

What is Shanta A Purushotham MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Shanta A Purushotham MD PA enrolled in Medicare?

Yes. Shanta A Purushotham MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shanta A Purushotham MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Shanta A Purushotham MD 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shanta A Purushotham MD PA was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.