Organization Active NPI

Sunshine Pediatrics of Ocala PA

  • Rural Health Clinic/Center
  • Ocala, FL
National Provider Identifier
1285915603
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SUNSHINE PEDIATRICS OF OCALA PA
Practice address
1900 SW 20TH PL
Ocala, FL 34471
Phone
(352) 840-5437
Fax
(352) 237-1094
NPI assigned
Aug 30, 2011
Last updated
Aug 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Mr. Madhukar Shrinath, M.D.NPI 1346218492
Title
Owner
Phone
(352) 840-5437

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME76333 FL
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1900 SW 20TH PL
Ocala, FL 34471

Mailing address

1900 SW 20TH PL
Ocala, FL 34471-7870
Phone (352) 840-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000193 FL Part A Provider - Rural Health Clinic 5496917858 Practice locations: Ocala, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285915603. Details of each certification follow.

Rural health clinic certification: CCN 103973

Legal name
SUNSHINE PEDIATRICS OF OCALA, P.A.
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 29, 2012
Last certification
Jan 30, 2025
Ownership / control type
Non-profit – church related
Organization structure
CorporationProprietary
Incorporated
Sep 29, 2006 in FL
Enrollment address
1900 SW 20TH PL
Ocala, FL 34471-7870

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1069068Sunshine Pediatrics of Ocala PA1900 SW 20TH PL, Ocala, FL 34471Certificate of waiverMay 28, 2027

National Provider Directory

National Provider Directory

Locations

1900 SW 20th Pl
Ocala, FL 34471
Phone (352) 840-5437

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Madhukar Shrinath Individual 5% Or Greater Direct Ownership Interest Sep 29, 2006 100%
Corporate Officer Sep 29, 2006 100%
W-2 Managing EmployeePresident Sep 29, 2006

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1285915603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SW 20TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717870",
            "telephone_number": "352-840-5437",
            "fax_number": "352-237-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SW 20TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-840-5437",
            "fax_number": "352-237-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRICS OF OCALA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "SHRINATH",
        "authorized_official_first_name": "MADHUKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-840-5437",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME76333",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.