Organization Active NPI

Nirmala Inc

Doing business as Sunshine Pediatrics of Lutz

  • Pediatrics Physician
  • Lutz, FL
National Provider Identifier
1336365907
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME90168 Issued in FL
Legal business name
NIRMALA INC
Doing business as
Sunshine Pediatrics of Lutz
Practice address
18928 N. Dale Mabry Hwy
Ste 102
Lutz, FL 33548
Phone
(813) 948-2679
Fax
(813) 948-2694
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Payal Patel, M.D.
Title
Pediatrician
Phone
(813) 758-1749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME90168 FL Primary

Addresses

Primary practice location

18928 N. Dale Mabry Hwy
Ste 102
Lutz, FL 33548

Mailing address

18928 N. Dale Mabry Hwy
Ste 102
Lutz, FL 33548
Phone (813) 948-2679

Other identifiers 2

IdentifierTypeStateIssuer
271493100MedicaidFL
$$$$$$$$$OtherFLSOCIAL SECURITY

Other names 1

  • Sunshine Pediatrics of Lutz Doing business as

National Provider Directory

National Provider Directory

Locations

18934 N Dale Mabry Hwy
Lutz, FL 33548

18928 N Dale Mabry Hwy
Ste 102
Lutz, FL 33548
Phone (813) 948-2679

18934 N Dale Mabry Hwy
Ste 101
Lutz, FL 33548
Phone (813) 948-2679

18934 N Dale Mabry Hwy
Ste 102
Lutz, FL 33548

1213 W Hillsborough Ave
Tampa, FL 33603
Phone (609) 948-2679

33921 Sr 54
Wesley Chapel, FL 33543
Phone (813) 948-2679

33921 Sr 54
Ste 101
Wesley Chapel, FL 33543

33921 Wesley Chapel Blvd
Ste 101
Wesley Chapel, FL 33543

7008 Jason Dr
Zephyrhills, FL 33541

7008 Jason Dr
Ste 1
Zephyrhills, FL 33541

7008 Jason Dr
Ste 101
Zephyrhills, FL 33541

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1336365907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18928 N. DALE MABRY HWY",
            "address_2": "STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33548",
            "telephone_number": "813-948-2679",
            "fax_number": "813-948-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18928 N. DALE MABRY HWY",
            "address_2": "STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33548",
            "telephone_number": "813-948-2679",
            "fax_number": "813-948-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRMALA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "813-758-1749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME90168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271493100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Pediatrics of Lutz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.