Individual provider Active NPI

Sudha Kalva, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1336396878
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME129517 Issued in FL
Practice address
7350 Sand Lake CMN Ste 2215
Orlando, FL 32819-8031
Phone
(407) 226-3388
Fax
(407) 226-3372
NPI assigned
Aug 27, 2008
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME129517 FL Primary

Addresses

Primary practice location

7350 Sand Lake CMN Ste 2215
Orlando, FL 32819-8031

Mailing address

7350 Sandlake Commons Blvd Ste 2215
Orlando, FL 32819-8031
Phone (407) 226-3372

Other identifiers 1

IdentifierTypeStateIssuer
019247700MedicaidFL

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
I20161209000883 FL Practitioner - Family Practice 7911171228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

2228 S Kirkman Rd
Optum Park Place
Orlando, FL 32811-2308
Phone (407) 615-8180

734 Elkcam Blvd
Wellmed at Deltona
Deltona, FL 32725-2626
Phone (386) 532-8199

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129517FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Optumcare Florida LLC Family Medicine CurrentSince Jan 9, 2017 Accepting new patients
Optumcare Florida, LLC CurrentSince Jan 9, 2017 Accepting new patients

Locations

202 N Park Ave
Apopka, FL 32703
Phone (407) 889-4711

2424 Manatee Ave W
Ste 100
Bradenton, FL 34205
Phone (941) 847-7290

734 Elkcam Blvd
Deltona, FL 32725
Phone (386) 274-2520

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

2228 S Kirkman Rd
Orlando, FL 32811
Phone (407) 615-8180

7350 Sandlake Commons Blvd
Ste 2215
Orlando, FL 32819
Phone (407) 226-3388

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

2304 Aloma Ave
Ste 100
Winter Park, FL 32792
Phone (407) 679-9222

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sudha.kalva@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1336396878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 SANDLAKE COMMONS BLVD STE 2215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198031",
            "telephone_number": "407-226-3372",
            "fax_number": "407-226-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 SAND LAKE CMN STE 2215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198031",
            "telephone_number": "407-226-3388",
            "fax_number": "407-226-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALVA",
        "first_name": "SUDHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME129517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019247700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.