Kousalya Sara, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME99943 Issued in FL

Practice address

2700 Healing Way Ste 303
Wesley Chapel, FL 33543-5471

Phone

(813) 929-5380

Fax

(813) 929-5991

NPI assigned

Aug 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kousalya Pendela Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksara73690@adventhealth.direct-ci.com

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.

• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment NPD
• Florida Urology Partners, LLP

  • Urology Physician
  • Tampa, FL
  • NPI 1447401955
  NPD

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1407048028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HEALING WAY STE 303",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435471",
            "telephone_number": "813-929-5380",
            "fax_number": "813-929-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HEALING WAY STE 303",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435471",
            "telephone_number": "813-929-5380",
            "fax_number": "813-929-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARA",
        "first_name": "KOUSALYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "60230",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME99943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF MEDICINE",
            "identifier": "ME99943",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LICENSE",
            "identifier": "60230",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOUSALYA",
            "last_name": "PENDELA",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexis Gabriela Santana
• Megan Santiago
• Ramon L Santiago
• Yelena Tatiana Santos
• Rene Santoscoy, MD
• Reshmi G Saraladevi
• Jeffrey Sargent, OTD, OTR/L
• Prematee D Sarwan, DDS
• Wadram Satnarain
• Monique Saunders Merchant, PSYD

• Pediatrics Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.