Sunil N Lalla MD PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME061581 Issued in FL

Legal business name

SUNIL N LALLA MD PA

Practice address

14171 Metropolis Ave
202
Fort Myers, FL 33912-4335

Phone

(239) 561-2202

Fax

(239) 561-3099

NPI assigned

Sep 11, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Sunil N Lalla, M.D., P.ANPI 1407841760

Title

Owner

Phone

(239) 561-2202

Specialties & licenses 1

Addresses

Other identifiers 3

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 5

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

• Sunil N Lalla, MD

  • Pulmonary Disease Physician
  • Fort Myers, FL
  • NPI 1407841760
  Medicare reassignment NPD Authorized official
• Luis A Aponte, M.D.

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1790818607
  Medicare reassignment NPD
• Ashley Ruffing

  • Gerontology Nurse Practitioner
  • Naples, FL
  • NPI 1730629718
  Medicare reassignment NPD
• Alp Hasan Umar, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1669518361

  FL, Pulmonary Disease

  Medicare reassignment NPD
• Karunasree Gogineni, P.A-C

  • Physician Assistant
  • Fort Myers, FL
  • NPI 1073984365
  Medicare reassignment

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

{
    "created_epoch": "1126396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1114911609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14171 METROPOLIS AVE",
            "address_2": "202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124335",
            "telephone_number": "239-561-2202",
            "fax_number": "239-561-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14171 METROPOLIS AVE",
            "address_2": "202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124335",
            "telephone_number": "239-561-2202",
            "fax_number": "239-561-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL N LALLA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-11",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "LALLA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-561-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME061581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370308800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15080",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCFL GROUP",
            "identifier": "0006N",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suncoast Vascular Clinic
• Sunevision LLC
• Dorita Sungailaite
• Sunhealth Medical & Rehabilitation Center
• Sunil Malkani MD PA
• Sunny Durable Medical Equipment Co.
• Sunny Kids, LLC
• Sunny Skies Adult Daycare LLC
• Sunrise Community Inc.
• Sunrise Community Inc.

• Pulmonary Disease Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.