Individual provider Active NPI

Sumesh Chandra, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Tampa, FL
National Provider Identifier
1477547602
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME0034899 Issued in FL
Practice address
13801 Bruce B Downs Blvd Ste 201
Tampa, FL 33613-3937
Phone
(813) 977-5557
Fax
(813) 972-9211
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME0034899 FL Primary

Addresses

Primary practice location

13801 Bruce B Downs Blvd Ste 201
Tampa, FL 33613-3937

Mailing address

13801 Bruce B Downs Blvd Ste 201
Tampa, FL 33613-3937
Phone (813) 977-5557

Other identifiers 6

IdentifierTypeStateIssuer
30302OtherFLBCBS INDIVIDUAL
DB6684OtherFLRR MCARE GRUOUP
270620200MedicaidFL
039760100MedicaidFL
410111141OtherFLRR MCARE INDIVIDUAL
74830OtherFLBCBS GROUP

Other names 1

  • Dr. Sumesh Chandra Professional name

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
I20091203000576 FL Practitioner - EndocrinologyPractitioner - Nuclear Medicine 0840276655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Nuclear Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute of Endocrinology Diabetes Health and HormonesGroup PAC ID 8729300454, 32 clinicians

Practice addresses (Care Compare)

13801 Bruce B Downs Blvd
Suite 201
Tampa, FL 33613-3937
Phone (813) 977-5557

633 E Baldwin Rd
Panama City, FL 32405-4207
Phone (850) 522-5490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Endocrinology Diabetes Health and Hormones Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2024 Accepting new patients

Locations

633 E Baldwin Rd
Panama City, FL 32405
Phone (850) 522-5490

13801 Bruce B Downs Blvd
Ste 201
Tampa, FL 33613
Phone (813) 977-4876

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1477547602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133937",
            "telephone_number": "813-977-5557",
            "fax_number": "813-972-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133937",
            "telephone_number": "813-977-5557",
            "fax_number": "813-972-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "SUMESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME0034899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "30302",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE GRUOUP",
            "identifier": "DB6684",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270620200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039760100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE INDIVIDUAL",
            "identifier": "410111141",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "74830",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMESH",
            "last_name": "CHANDRA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.