Active NPI
Antony G Sankoorikal, MD
- Specialist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0062422
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00030228 | Other | FL | RR MEDICARE |
| 25145 | Other | FL | BCBS |
| 375377800 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- 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 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0062422 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antony G Sankoorikal MD PA | Specialist | Current | Accepting new patients |
Locations
2655 State Road 580
Ste 201
Clearwater, FL 33761
Phone (727) 797-7410
Networks
- Freedom Health HMO Network
Interoperability endpoints
- 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.
-
- Specialist
- Clearwater, FL
- NPI 1982620597
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.