Individual provider Active NPI

Suneeta Pinnamaneni, MD

  • Medical Oncology Physician
  • Leesburg, FL
National Provider Identifier
1265609580
Registry record updated Aug 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME99681 Issued in FL
Practice address
9832 US Highway 441
Ste 101
Leesburg, FL 34788-3966
Phone
(352) 787-3341
Fax
(352) 787-7491
NPI assigned
May 15, 2008
Last updated
Aug 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X ME99681 FL Primary

Addresses

Primary practice location

9832 US Highway 441
Ste 101
Leesburg, FL 34788-3966

Mailing address

9832 US Highway 441
Ste 101
Leesburg, FL 34788-3966
Phone (352) 787-3341

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
I20080804000657 FL Practitioner - Hematology/Oncology 8921172271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8136 Centralia CT
Leesburg, FL 34788-3757
Phone (352) 343-7246

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Spine Centers of Florida, LLC Medical Oncology CurrentSince Dec 1, 2011 Accepting new patients
Pain and Spine Centers of Florida LLC CurrentSince Dec 1, 2011 Accepting new patients
Pain and Spine Centers of Florida LLC Current Accepting new patients
Cancer Centers of Central Florida PA PastSince Sep 16, 2004 Accepting new patients

Locations

8136 Centralia Ct
Ste 103
Leesburg, FL 34788
Phone (352) 343-6900

2146 Vindale Rd
Tavares, FL 32778
Phone (352) 343-7246

2146 Vindale Rd
Ste C
Tavares, FL 32778
Phone (352) 343-6900

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282435200000",
    "number": "1265609580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 US HIGHWAY 441",
            "address_2": "STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883966",
            "telephone_number": "352-787-3341",
            "fax_number": "352-787-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 US HIGHWAY 441",
            "address_2": "STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883966",
            "telephone_number": "352-787-3341",
            "fax_number": "352-787-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNAMANENI",
        "first_name": "SUNEETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2010-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME99681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.