Sujatha Borra MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME86603 Issued in FL

Legal business name

SUJATHA BORRA MD PA

Practice address

13333 N 56TH St
Tampa, FL 33617-1161

Phone

(813) 983-0894

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Sujatha Reddy Borra, M.D.NPI 1104811462

Title

President

Phone

(813) 983-0894

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEGIBA

Practitioners 2

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

• Sujatha Reddy Borra, MD

  • Neurology Physician
  • Tampa, FL
  • NPI 1104811462
  Medicare reassignment NPD Authorized official
• Wendy L Christensen

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1073169256
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1235328519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171161",
            "telephone_number": "813-983-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171161",
            "telephone_number": "813-983-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJATHA BORRA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "BORRA",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-983-0894",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME86603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273907100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savanna Suggs
• Katia Yuri Sugimura Simoes
• Elsa J Suh, M.D.
• Hyung Chan Suh, M.D.
• Youngsoo Suh, RPT
• Joseph Sujka, M.D.
• Prashant B Sukharamwala, M.D.
• Yashodra Ambica Sukhnandan
• Emilie Sukijbumrung
• Alexis Nicole Sukow

• Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.