Suwarna M Tilak, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME71441 Issued in FL

Practice address

10175 Fortune Pkwy
Suite 401
Jacksonville, FL 32256-6746

Phone

(904) 519-0008

Fax

(904) 519-0007

NPI assigned

Jul 26, 2006

Last updated

Jul 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. Sue M Tilak Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Culinary MD Inc

  • Health Service Clinic/Center
  • Jacksonville, FL
  • NPI 1093439820
  NPD Authorized official
• Children's Express Care Clinic

  dba Excel Pediatrics

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1114424280
  Authorized official Same address or phone
• Children's Express Care Clinic

  dba Excel Pediatrics

  • Pediatrics Physician
  • Saint Johns, FL
  • NPI 1538735246
  Authorized official Same address or phone
• Children's Express Care Clinic

  • Pediatrics Physician
  • Middleburg, FL
  • NPI 1548530736
  Authorized official Same address or phone
• Children's Express Care Clinic

  dba Excel Pediatrics

  • Pediatrics Physician
  • Middleburg, FL
  • NPI 1730685157
  Authorized official Same address or phone
• University of Florida Jacksonville Physicians, Inc.

  dba UF Health Imaging Center-Baymeadows

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD
• Doctors Inlet Pediatrics & Primary Care, PA

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1205039690
  NPD (past)
• Doctors Inlet Pediatrics and Primary Care

  dba Doctors Inlet Internal Medicine, Spine and Pain

  • Internal Medicine Physician
  • Middleburg, FL
  • NPI 1518328301

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1174546584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 COLLEGE DR",
            "address_2": "SUITE 100-102",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688530",
            "telephone_number": "904-298-1994",
            "fax_number": "904-298-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY",
            "address_2": "SUITE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566746",
            "telephone_number": "904-519-0008",
            "fax_number": "904-519-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1714 N Main St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322064404",
            "country_code": "US",
            "telephone_number": "904-354-6868",
            "fax_number": "904-358-3067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILAK",
        "first_name": "SUWARNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME71441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "05527",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32326",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "211581",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250510000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2941247",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "TILAK",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vicki D Tierney, OTR, MHS
• Tiffany Baltiero LMT LLC
• Tiffany's Homemaker and Companion
• Robin Shepherd Tighe, APRN
• Tiki Stafford (Diversity Me)
• Grace Alexandra Tilbrook, AUD
• Ralph Thomas Tilbury, M.D.
• Beatrice Joy Tiller
• Bryce R Tiller, MD
• Mallory Lynn Tillis, SLP

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.

Verify at the official NPI Registry.