NPIMap

Individual provider Active NPI

Srinivasa Reddy Buggana, M.D.

  • Internal Medicine Physician
  • Lakeland, FL
National Provider Identifier
1053515221
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME98104 Issued in FL
Practice address
135 E. First Street
Lakeland, FL 33805-4609
Phone
(863) 682-0843
Fax
(863) 687-3971
NPI assigned
Jun 12, 2007
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME98104 FL Primary

Addresses

Primary practice location

135 E. First Street
Lakeland, FL 33805-4609

Mailing address

PO Box 91988
Lakeland, FL 33804-1988
Phone (863) 682-0843

Other identifiers 1

IdentifierTypeStateIssuer
023678800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000071 FL Practitioner - Internal Medicine 0446345615 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Primary Care P L CGroup PAC ID 3971688540, 6 clinicians

Practice addresses (Care Compare)

7345 W Sand Lake Rd
Suite 206
Orlando, FL 32819-5280
Phone (407) 248-8862

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME98104FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Jun 26, 2007 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Jun 26, 2007 Accepting new patients
Rockledge Physician Services, LLC CurrentSince Jun 16, 2016 Accepting new patients
Central Florida Primary Care P L C Internal Medicine CurrentSince Oct 28, 2021 Accepting new patients
Greater Orlando Hospitalists Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Jay Care Medical Center, Inc. Past Accepting new patients
Specialists of Ocala, LLC Past Accepting new patients
Parkview Medical Group, LLC Past Accepting new patients

Locations

478 E Altamonte Dr
Ste 108
Altamonte Springs, FL 32701
Phone (407) 260-5455

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

7345 W Sand Lake Rd
Ste 206
Orlando, FL 32819
Phone (407) 248-8862

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

200 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 646-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJGCA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1053515221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91988",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338041988",
            "telephone_number": "863-682-0843",
            "fax_number": "863-687-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E. FIRST STREET",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054609",
            "telephone_number": "863-682-0843",
            "fax_number": "863-687-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGGANA",
        "first_name": "SRINIVASA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023678800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.