NPIMap

Organization Active NPI

Sunil Ayyagari MD PLLC

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1043763261
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 97865 Issued in FL
Legal business name
SUNIL AYYAGARI MD PLLC
Practice address
824 NE 19TH Ave
Fort Lauderdale, FL 33304-3081
Phone
(309) 472-6669
NPI assigned
Jul 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Dr. Sunil Ayyagari, MD
Title
Medical Director
Phone
(309) 472-6669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME 97865 FL Primary

Addresses

Primary practice location

824 NE 19TH Ave
Fort Lauderdale, FL 33304-3081

Mailing address

824 NE 19TH Ave
Fort Lauderdale, FL 33304-3081
Phone (309) 472-6669

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1043763261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 NE 19TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043081",
            "telephone_number": "309-472-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 NE 19TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043081",
            "telephone_number": "309-472-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL AYYAGARI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "AYYAGARI",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "309-472-6669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 97865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.