Individual provider Active NPI

Suneeth Patwari, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1356397764
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77563 Issued in FL
Practice address
507 S Macdill Ave
Tampa, FL 33609-3038
Phone
(813) 350-9398
Fax
(813) 414-9181
NPI assigned
May 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME77563 FL Primary

Addresses

Primary practice location

507 S Macdill Ave
Tampa, FL 33609-3038

Mailing address

10334 Lightner Bridge Dr
Tampa, FL 33626-1809
Phone (813) 350-9398

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
I20050516000399 FL Practitioner - Internal Medicine 3870534308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

507 S Macdill Ave
Tampa, FL 33609-3038
Phone (813) 350-9398

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Medical & Health Services Inc CurrentSince Jul 10, 2007 Accepting new patients
American Family & Geriatric Care PA Past Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Silver Wings Independence at Home LLC Past Accepting new patients
Doctors R US Walk-in Clinic, Inc. Past Accepting new patients
First Knight Medical Inc PastSince Nov 7, 2006 Accepting new patients

Locations

507 S Macdill Ave
Tampa, FL 33609
Phone (813) 350-9398

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 6

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356397764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10334 LIGHTNER BRIDGE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261809",
            "telephone_number": "813-350-9398",
            "fax_number": "813-414-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093038",
            "telephone_number": "813-350-9398",
            "fax_number": "813-414-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATWARI",
        "first_name": "SUNEETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.