NPIMap

Individual provider Active NPI

Anu Tatambhotla, MD

  • Internal Medicine Physician
  • Homosassa, FL
National Provider Identifier
1477619559
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73760 Issued in FL
Practice address
4049 S Ohio Ave
Homosassa, FL 34446-1138
Phone
(352) 628-1000
Fax
(352) 628-1120
NPI assigned
Dec 31, 2006
Last updated
Apr 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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 ME73760 FL Primary

Addresses

Primary practice location

4049 S Ohio Ave
Homosassa, FL 34446-1138

Mailing address

PO Box 5069
Homosassa Springs, FL 34447-5069
Phone (352) 628-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000502 FL Practitioner - Internal Medicine 2860542206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Clinical Partners, LLCGroup PAC ID 5597162693, 8 clinicians

Practice addresses (Care Compare)

1031 W Magnolia St
Leesburg, FL 34748-5730
Phone (800) 632-6228

4049 S Ohio Ave
Homosassa, FL 34446-1138

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73760FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anu R Tatambhotla MD PA Internal Medicine CurrentSince Mar 25, 2009 Accepting new patients
Tampa General Hospital Current Accepting new patients
Pathways Clinical Partners, LLC CurrentSince Jul 15, 2024 Accepting new patients
Visiting Nurse Services of Central Florida LLC CurrentSince Nov 18, 2025 Accepting new patients
Gopal Tatambhotla MD PA PastSince Mar 11, 2000 Accepting new patients

Locations

4049 S Ohio Ave
Homosassa, FL 34446
Phone (352) 527-9500

1031 W Magnolia St
Leesburg, FL 34748
Phone (352) 315-0459

Interoperability endpoints

  • Direct secure messaging: atatambhotla297006@direct.tgh.org
  • FHIR API: https://api.platform.athenahealth.com/17462/brand/2/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IACJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IACJBA/Endpoint/IACJBA

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1477619559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5069",
            "city": "HOMOSASSA SPRINGS",
            "state": "FL",
            "postal_code": "344475069",
            "telephone_number": "352-628-1000",
            "fax_number": "352-628-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 S OHIO AVE",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344461138",
            "telephone_number": "352-628-1000",
            "fax_number": "352-628-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATAMBHOTLA",
        "first_name": "ANU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homosassa, FL

Sources for this page

Verify at the official NPI Registry.