Active NPI
Sunrise Neurology PA
- Neurology Physician
- Zephyrhills, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME86194
- Legal business name
- SUNRISE NEUROLOGY PA
- Practice address
- 38156 Medical Center Ave
Zephyrhills, FL 33540-1380 - Phone
- (813) 783-9799
- Fax
- (813) 783-9793
- NPI assigned
- Apr 25, 2006
- Last updated
- Jun 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prakashkumar Patel, MD
- Title
- Owner
- Phone
- (813) 783-9799
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME86194 | FL | Primary |
Addresses
Primary practice location
38156 Medical Center Ave
Zephyrhills, FL 33540-1380
Mailing address
38156 Medical Center Ave
Zephyrhills, FL 33540-1380
Phone (813) 783-9799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267730000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2754 Windguard Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 783-9799
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Zephyrhills, FL
- NPI 1629079801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1063478279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38156 MEDICAL CENTER AVE",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335401380",
"telephone_number": "813-783-9799",
"fax_number": "813-783-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38156 MEDICAL CENTER AVE",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335401380",
"telephone_number": "813-783-9799",
"fax_number": "813-783-9793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE NEUROLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-25",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "PRAKASHKUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-783-9799",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME86194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267730000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.