Active NPI
Premier Health Care Inc
- Internal Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PREMIER HEALTH CARE INC
- Practice address
- 218 Pasadena Ave S
Saint Petersburg, FL 33707-1251 - Phone
- (727) 345-0160
- NPI assigned
- Sep 27, 2006
- Last updated
- Jan 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vijaya L Cherukuri, M.D.
- Title
- Medical Director
- Phone
- (727) 345-0160
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
218 Pasadena Ave S
Saint Petersburg, FL 33707-1251
Mailing address
9823 Sago Point Dr
Largo, FL 33777-4905
Phone (727) 452-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0984573 | Premier Health Care Inc | Certificate of waiver | Oct 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
1609 Pasadena Ave S
Ste 2C
South Pasadena, FL 33707
Phone (727) 302-9000
218 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-0160
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Internal Medicine) Physician
- St Petersburg, FL
- NPI 1750375267
-
- Physician Assistant
- St Petersburg, FL
- NPI 1669331609
-
- Nurse Practitioner
- Treasure Island, FL
- NPI 1144072406
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1588237705
-
- Geriatric Medicine (Family Medicine) Physician
- Plant City, FL
- NPI 1841455607
-
- Family Nurse Practitioner
- Tampa, FL
- NPI 1609493881
-
- Physician Assistant
- St Petersburg, FL
- NPI 1710304308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1124119151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9823 SAGO POINT DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337774905",
"telephone_number": "727-452-4949",
"fax_number": "727-345-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 PASADENA AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337071251",
"telephone_number": "727-345-0160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "CHERUKURI",
"authorized_official_first_name": "VIJAYA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "727-345-0160",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.