Active NPI
Sushma Koneru, MD
- Advanced Heart Failure and Transplant Cardiology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- ME131009
- Practice address
- 1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916 - Phone
- (407) 738-4200
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 26298 | IA | |
| Internal Medicine Physician | 207R00000X | 125-050062 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | ME131009 | FL | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | ME131009 | FL | Primary |
Addresses
Primary practice location
1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916
Mailing address
1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916
Phone (407) 738-4200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020180500 | Medicaid | FL | |
| 1457572547 | Medicaid | IA | |
| P01372068 | Other | IA | RR MEDICARE |
| 036120390 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251
Hospital & facility affiliations
- Orlando Health South Lake Hospital
- Orlando Health
- HCA Florida Osceola Hospital
- Adventhealth Orlando
- Orlando Health-Health Central Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-050062 | IL | MD | Internal Medicine Physician |
| 26298 | IA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Institute of Central Florida, LLC | Internal Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Cardiovascular Institute of Central Florida, LLC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
805 Oakley Seaver Dr
Ste A
Clermont, FL 34711
Phone (407) 652-6000
207 Park Place Blvd
Ste 3
Kissimmee, FL 34741
Phone (402) 870-5050
795 Primera Blvd
Ste 1021
Lake Mary, FL 32746
521 W State Road 434
Ste 307308
Longwood, FL 32750
2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399
6424 Alexandra Louise Dr
Ste 480
Orlando, FL 32827
7148 Curry Ford Rd
Ste 200
Orlando, FL 32822
Phone (407) 273-1357
7301 Stonerock Cir
Ste 1
Orlando, FL 32819
Phone (352) 512-9139
2859 Delaney Ave
Ste 100
Orlando, FL 32806
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1723 Lucerne Ter
Ste 100
Orlando, FL 32806
1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- sushma.koneru.1@29679.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Specialist
- Ocala, FL
- NPI 1679666598
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Cardiac Rehabilitation Clinic/Center
- Ocala, FL
- NPI 1457166571
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1689621450
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1457572547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 LUCERNE TER STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062916",
"telephone_number": "407-738-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 LUCERNE TER STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062916",
"telephone_number": "407-738-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONERU",
"first_name": "SUSHMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "26298",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-050062",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME131009",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "FL",
"license": "ME131009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020180500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457572547",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01372068",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036120390",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.
- 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.