Anu R Tatambhotla MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME73760 Issued in FL

Legal business name

ANU R TATAMBHOTLA MD PA

Practice address

4049 S Ohio Ave
Homosassa, FL 34446-1138

Phone

(352) 628-1000

Fax

(352) 628-1120

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Anu R Tatambhotla, MDNPI 1477619559

Title

Owner

Phone

(352) 628-1000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anu Tatambhotla, MD

  • Internal Medicine Physician
  • Homosassa, FL
  • NPI 1477619559
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1114152188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5069",
            "city": "HOMOSASSA SPRINGS",
            "state": "FL",
            "postal_code": "344475069",
            "telephone_number": "352-628-1000",
            "fax_number": "352-628-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 S OHIO AVE",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344461138",
            "telephone_number": "352-628-1000",
            "fax_number": "352-628-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANU R TATAMBHOTLA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "TATAMBHOTLA",
        "authorized_official_first_name": "ANU",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-628-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73760",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "FLARNP2962952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lynn Allen, COTA
• Enjoli Allison
• Aimi Rene Amalfitano
• Teresa Amroei, RDN
• Cheryl Anderson, PTA
• Josie Argoncillo
• Sana Ashry, OT
• Mohammed Atra
• Brandon Austin, OT
• Paola Austria, PT

• Internal Medicine Physician in Homosassa, FL
• Providers in Homosassa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.