Individual provider Active NPI

Antony G Sankoorikal, MD

  • Specialist
  • Clearwater, FL
National Provider Identifier
1093769549
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0062422 Issued in FL
Practice address
2655 State Road 580
Suite 201
Clearwater, FL 33761-3167
Phone
(727) 797-7410
Fax
(727) 797-7411
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0062422 FL Primary
Rheumatology Physician 207RR0500X ME0062422 FL

Addresses

Primary practice location

2655 State Road 580
Suite 201
Clearwater, FL 33761-3167

Mailing address

2655 State Road 580
Suite 201
Clearwater, FL 33761-3167
Phone (727) 797-7410

Other identifiers 3

IdentifierTypeStateIssuer
P00030228OtherFLRR MEDICARE
25145OtherFLBCBS
375377800MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000078 FL Practitioner - RheumatologyPractitioner - Internal Medicine 8921140583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2655 State Rd
Clearwater, FL 33761-3167
Phone (727) 797-7410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.97 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062422FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Antony G Sankoorikal MD PA Specialist CurrentSince Nov 24, 2009 Accepting new patients

Locations

2655 State Road 580
Ste 201
Clearwater, FL 33761
Phone (727) 797-7410

Networks

  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1093769549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 STATE ROAD 580",
            "address_2": "SUITE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613167",
            "telephone_number": "727-797-7410",
            "fax_number": "727-797-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 STATE ROAD 580",
            "address_2": "SUITE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613167",
            "telephone_number": "727-797-7410",
            "fax_number": "727-797-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKOORIKAL",
        "first_name": "ANTONY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0062422",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME0062422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00030228",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25145",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375377800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.