Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114977790 Individual Practitioner Female Practitioner

Dr. Madhushree Desiraju , MD

General Practice • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Madhushree Desiraju, MD is a registered healthcare professional specializing in General Practice in Orlando, FL. Practice services are available at 9145 NARCOOSSEE RD STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9145 Narcoossee Rd Ste 103

Orlando, FL 328275768

Telephone 4072432040
Fax 4072432043
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
170 Specialists

Practicing in Orlando, FL (2490 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME78762

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME78762

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
258496400 (FL)
Commercial Insurance / Payer ID Tax Id
591859126

Secondary Practice Locations

2106 Hillcrest St

Orlando, FL 328034829

Phone: 4078969250

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1497993539

Doctor of Medicine (M.D.)

NPI 1568880011

Doctor of Medicine (M.D.)

NPI 1902057417

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location March 17, 2018

Registered at 9145 NARCOOSSEE RD STE 103, ORLANDO, FL 328275768 (Tel: 4072432040)

📍
Updated Business Mailing Address March 17, 2018

Registered at 10140 CENTURION PKWY N, JACKSONVILLE, FL 322560532 (Tel: 9046974127)

📍
Updated Practice Location March 02, 2018

Registered at 9145 NARCOOSSEE RD STE 103, ORLANDO, FL 328275768 (Tel: 4072432040)

📍
Updated Business Mailing Address March 02, 2018

Registered at 10140 CENTURION PKWY N, JACKSONVILLE, FL 322560532 (Tel: 9046974127)

NPI Profile Active June 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2017

Registered at 2106 HILLCREST ST, ORLANDO, FL 328034829 (Tel: 4078969250)

📍
Updated Business Mailing Address June 20, 2017

Registered at 2106 HILLCREST ST, ORLANDO, FL 328034829 (Tel: 4078969250)

👤
Provider Name / Credentials Updated June 20, 2017

Recorded as MADHUSHREE DESIRAJU, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Pediatrics (License #ME78762 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2106 HILLCREST ST, ORLANDO, FL 328034829 (Tel: 4078969250)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2106 HILLCREST ST, ORLANDO, FL 328034829 (Tel: 4078969250)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MADHUSHREE DESIRAJU, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #ME78762 in FL)

🟢
Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114977790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

10140 Centurion Pkwy N

Jacksonville, FL 322560532

Phone: 9046974127

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.