Active NPI
Ponnila Srinivasan
- Nurse Practitioner
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11004485
- Practice address
- 7800 Sheridan St
Pembroke Pines, FL 33024-2536 - Phone
- (954) 883-8474
- NPI assigned
- Jan 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11004485 | FL | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 9244465 | FL |
Addresses
Primary practice location
7800 Sheridan St
Pembroke Pines, FL 33024-2536
Mailing address
7800 Sheridan St
Pembroke Pines, FL 33024-2536
Other practice location 1
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 436-5000 ext. 1311
Other practice location 2
3600 Washington St
Hollywood, FL 33021-8216
Phone (954) 966-4500
Other names 1
- Ponnila Ramasamy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 345-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9244465 | FL | MD | Critical Care Medicine Registered Nurse |
| APRN11004485 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Nurse Practitioner | Current | Accepting new patients |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Eastside Hospitalists Inc | Nurse Practitioner | Current | Accepting new patients |
| Martin Memorial Medical Center Inc | Current | Accepting new patients |
Locations
4701 S Flamingo Rd
Cooper City, FL 33330
Phone (954) 434-3160
3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- Urgent Care Clinic/Center
- Stuart, FL
- NPI 1154962918
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1093355190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 SHERIDAN ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330242536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 SHERIDAN ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330242536",
"telephone_number": "954-883-8474"
}
],
"practiceLocations": [
{
"address_1": "703 N Flamingo Rd",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330281006",
"country_code": "US",
"telephone_number": "954-436-5000 x1311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Washington St",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330218216",
"country_code": "US",
"telephone_number": "954-966-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SRINIVASAN",
"first_name": "PONNILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-07",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11004485",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "9244465",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PONNILA",
"last_name": "RAMASAMY",
"credential": "PONNILA RAMASAMY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.