MR. ANTHONY KENRICK MAHARAJ (PA-C) – Physician Assistant, NPI 1770918880

MR. ANTHONY KENRICK MAHARAJ (PA-C) is a healthcare provider. based in Clermont, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA9107455 (FL). The NPI Number for MR. ANTHONY KENRICK MAHARAJ (PA-C) is 1770918880

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANTHONY KENRICK MAHARAJ (PA-C)
NPI
1770918880
Phone
(352) 559-0979
Address
2749 CITRUS TOWER BLVD
Enumeration Date
8 September 2013
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8633149308
Graduation Year
2010 (16 years ago)
PAC ID
4981924412
Group Practice PAC ID
1456430487
Professional Enrollment ID
I20150522000869
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for MR. ANTHONY KENRICK MAHARAJ (PA-C)

  • 2749 CITRUS TOWER BLVD

    CLERMONT, FL 347116699

    Phone: (352) 559-0979

    Fax: (352) 708-3050

    Type: Mailing

  • 1924 HIGHWAY 441 NORTH

    OKEECHOBEE, FL 349726420

    Phone: (863) 357-0540

    Type: Mailing

  • 2597 MARIOTTA RDG

    CLERMONT, FL 347150093

    Phone: (386) 837-3376

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2023-09-09 • Largest payer in this snapshot: Nevro Corp. ($24).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150522000869IPhysician AssistantFLTBD
I20230921004262IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34711)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456430487View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL
U R O L O G YFL
Orthopedic SurgeryFL
Family PracticeFL
Family PracticeIN
Cardiovascular Disease (Cardiology), Internal MedicineFL
P O D I A T R YFL
-FL

Reviews

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Frequently asked questions

What is MR. ANTHONY KENRICK MAHARAJ (PA-C)'s NPI number?
MR. ANTHONY KENRICK MAHARAJ (PA-C)'s NPI is 1770918880 — the number used across U.S. healthcare to identify this provider.
Is MR. ANTHONY KENRICK MAHARAJ (PA-C) still an active registrant?
MR. ANTHONY KENRICK MAHARAJ (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with MR. ANTHONY KENRICK MAHARAJ (PA-C)?
MR. ANTHONY KENRICK MAHARAJ (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. ANTHONY KENRICK MAHARAJ (PA-C)?
Travel planning: use Clermont, Florida as the reference point for MR. ANTHONY KENRICK MAHARAJ (PA-C), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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