Koravangala K Sundaresh, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME42812 Issued in FL

Practice address

5131 Westshore Dr
New Port Richey, FL 34652-8006

Phone

(727) 845-3890

Fax

(727) 846-0112

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Infectious DiseaseAlso: Internal Medicine

Education

Chicago College of Medicine and Surgery, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
• HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

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

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.

• KV Sundaresh MD

  • Infectious Disease Physician
  • New Port Richey, FL
  • NPI 1497146716
  NPD (past)

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

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419
  Care Compare affiliation
• New Port Richey Hospital Inc

  • General Acute Care Hospital
  • Trinity, FL
  • NPI 1891741849
  Care Compare affiliation

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1336147487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1166",
            "city": "ELFERS",
            "state": "FL",
            "postal_code": "346801166",
            "telephone_number": "727-845-3890",
            "fax_number": "727-846-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 WESTSHORE DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346528006",
            "telephone_number": "727-845-3890",
            "fax_number": "727-846-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARESH",
        "first_name": "KORAVANGALA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME42812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069547500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suncoast Heart Clinic P a
• Suncoast Oral Surgery, LLC.
• Suncoast Pain Relief Clinic, LLC
• Suncoast Specialty Surgery Center, LLLP
• Suncoast Womens Care PA
• Sunny Day Home Health Inc
• Sunshine Living Alf II LLC
• Sunshine Mental Health LLC
• Svetcare Home Assistance
• Jennifer Swaringen, M.D.

• Infectious Disease Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.