Physician Partners Specialty Services, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

PHYSICIAN PARTNERS SPECIALTY SERVICES, LLC

Practice address

1714 SW 17TH St
Ocala, FL 34471-1223

Phone

(352) 274-9900

Fax

(352) 261-0816

NPI assigned

Jan 3, 2013

Organization subpart

No

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

Authorized official

Name

Sriram Sundaramoorthy

Title

Chief Compliance Officer

Phone

(813) 444-5838

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Kunal Patel, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1588930572
  Medicare reassignment NPD
• Lisa L Young, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Ocala, FL
  • NPI 1861694911
  Medicare reassignment NPD

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1356688899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711227",
            "telephone_number": "352-274-9455",
            "fax_number": "877-405-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711223",
            "telephone_number": "352-274-9900",
            "fax_number": "352-261-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PARTNERS SPECIALTY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "SUNDARAMOORTHY",
        "authorized_official_first_name": "SRIRAM",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "813-444-5838"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Piscitello Phillips, DNP, CRNA
• Susan Brekrus Phillips, O.D.
• Dyan Syntha Phipps, APRN
• Physiatry Phirst LLC
• Physician Health Partners at Munroe Regional Medical Center Inc
• Physician Providers Group PA (Comprehensive Pain Management)
• Physicians for a Community United for Research and Education LLC (Ocala Community Cancer Center)
• Joda Kim Picard, APRN
• Tori D Picard
• Lydia Pichardo

• Endocrinology, Diabetes & Metabolism Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.