Active NPI
Sumanth Padmanabh, MD
- Internal Medicine Physician
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 124652
- Practice address
- 1950 Laurel Manor Dr
Building 200, Suite 206
The Villages, FL 32162-5603 - Phone
- (352) 205-8812
- NPI assigned
- May 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8153512-1205 | UT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | ME 124652 | FL | Primary |
Addresses
Primary practice location
1950 Laurel Manor Dr
Building 200, Suite 206
The Villages, FL 32162-5603
Mailing address
PO Box 1493
Tavares, FL 32778-1493
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160202000033 | FL | Practitioner - Internal Medicine | 9638319536 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arbor Medical Group, PLLC
Practice addresses (Care Compare)
1950 Laurel Manor Dr
Suite 206
The Villages, FL 32162-5608
Phone (352) 205-8812
Hospital & facility affiliations
- Villages Regional Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 124652 | FL | MD | Internal Medicine Physician |
| 8153512-1205 | UT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
1950 Laurel Manor Dr
Bldg 200
The Villages, FL 32162
Phone (352) 205-8812
1950 Laurel Manor Dr
Ste 200
The Villages, FL 32162
Phone (352) 742-2286
1950 Laurel Manor Dr
Ste 206
The Villages, FL 32162
Phone (352) 205-8812
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.
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1609244136
FL, Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1104144419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1493",
"city": "TAVARES",
"state": "FL",
"postal_code": "327781493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 LAUREL MANOR DR",
"address_2": "BUILDING 200, SUITE 206",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625603",
"telephone_number": "352-205-8812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADMANABH",
"first_name": "SUMANTH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "8153512-1205",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 124652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.