Organization Active NPI

Rohini Sastry M.D. PA

  • Pain Medicine (Anesthesiology) Physician
  • Eustis, FL
National Provider Identifier
1033391990
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ROHINI SASTRY M.D. PA
Practice address
2785 S Bay St
Eustis, FL 32726-6591
Phone
(352) 728-2110
Fax
(352) 728-2115
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rohini Sastry, M.D.
Title
President
Phone
(352) 728-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

2785 S Bay St
Eustis, FL 32726-6591

Mailing address

1414 E Main St
Leesburg, FL 34748-5329
Phone (352) 728-2110

Other identifiers 2

IdentifierTypeStateIssuer
17984YOtherFLBC/BS
1568410900OtherFLNPI #

National Provider Directory

National Provider Directory
Tax ID family
Rohini Sastry MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1414 E Main St
Leesburg, FL 34748
Phone (352) 728-3898

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1033391990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485329",
            "telephone_number": "352-728-2110",
            "fax_number": "352-728-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266591",
            "telephone_number": "352-728-2110",
            "fax_number": "352-728-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROHINI SASTRY M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SASTRY",
        "authorized_official_first_name": "ROHINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-728-2110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "17984Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1568410900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.