Individual provider Active NPI

Divyang Sorathia, M.D.

  • Pulmonary Disease Physician
  • Brandon, FL
National Provider Identifier
1194932897
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME 106853 Issued in FL
Practice address
500 Vonderburg Dr
East Tower, Suite 201E
Brandon, FL 33511-5964
Phone
(813) 655-1100
Fax
(813) 655-1140
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME 106853 FL Primary

Addresses

Primary practice location

500 Vonderburg Dr
East Tower, Suite 201E
Brandon, FL 33511-5964

Mailing address

500 Vonderburg Dr
East Tower, Suite 201E
Brandon, FL 33511-5964
Phone (813) 655-1100

Other identifiers 3

IdentifierTypeStateIssuer
02900223MedicaidNY
5908958MedicaidNC
P00725393OtherNCRR MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000788 FL Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 9335239029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Associates of Brandon PAGroup PAC ID 4385626837, 5 clinicians

Practice addresses (Care Compare)

910 Oakfield Dr
Suite 102
Brandon, FL 33511-4925
Phone (813) 681-4413

Hospital & facility affiliations

  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • South Florida Baptist Hospital Hospital, Plant City, FL, CCN 100132
  • HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259
  • Sun Terrace Health Care Center Nursing home, Sun City Center, FL, CCN 105319

Merit-based Incentive Payment System (MIPS)

Final score
87.46 of 100Reported as group
Quality
79.22
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Pulmonary and Sleep Study P.a. Current Accepting new patients
Heart Vascular and Vein of Tampa Bay LLC CurrentSince May 31, 2020 Accepting new patients
Pulmonary Associates of Brandon PA Pulmonary Disease CurrentSince Mar 23, 2020 Accepting new patients

Locations

621 W Lumsden Rd
Brandon, FL 33511
Phone (813) 655-1100

1723 S Kings Ave
Brandon, FL 33511
Phone (813) 681-4413

910 Oakfield Dr
Brandon, FL 33511
Phone (813) 681-4413

910 Oakfield Dr
Ste 102
Brandon, FL 33511
Phone (813) 681-4413

720 Cortaro Dr
Sun City Ctr, FL 33573
Phone (813) 633-5513

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: divyang.sorathia@pab.directbygreenway.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1194932897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR",
            "address_2": "EAST TOWER, SUITE 201E",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115964",
            "telephone_number": "813-655-1100",
            "fax_number": "813-655-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR",
            "address_2": "EAST TOWER, SUITE 201E",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115964",
            "telephone_number": "813-655-1100",
            "fax_number": "813-655-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORATHIA",
        "first_name": "DIVYANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 106853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02900223",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908958",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00725393",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.