Individual provider Active NPI

Nangalya Tulasi Sirisha Tirthala, MD

  • Internal Medicine Physician
  • Lutz, FL
National Provider Identifier
1497986897
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD446420 Issued in FL
Practice address
2949 Allegra Way
Lutz, FL 33559-6998
Phone
(813) 934-2959
Fax
(813) 934-2958
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 MD446420 FL Primary

Addresses

Primary practice location

2949 Allegra Way
Lutz, FL 33559-6998

Mailing address

2949 Allegra Way
Lutz, FL 33559-6998
Phone (813) 934-2959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120810000631 PA Practitioner - HospitalistPractitioner - Internal Medicine 9537315270 Reassigns benefits to 2 organizations
I20230526001298 FL Practitioner - Internal Medicine 9537315270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Sgars Holdings PLLCGroup PAC ID 5092155762, 5 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2949 Allegra Way
Upwell Medical Clinic
Lutz, FL 33559-6998
Phone (201) 893-6136

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD446420FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sgars Holdings PLLC CurrentSince May 1, 2024 Accepting new patients
Sgars Holdings PLLC Internal Medicine CurrentSince Mar 17, 2024 Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Dec 17, 2013 Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
Pinnacle Health Medical Services Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Jul 10, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2012 Accepting new patients

Locations

2949 Allegra Way
Lutz, FL 33559
Phone (201) 893-6136

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

875 S Arlington Ave
Harrisburg, PA 17109
Phone (717) 652-1107

2501 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1497986897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 ALLEGRA WAY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596998",
            "telephone_number": "813-934-2959",
            "fax_number": "813-934-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 ALLEGRA WAY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596998",
            "telephone_number": "813-934-2959",
            "fax_number": "813-934-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRTHALA",
        "first_name": "NANGALYA",
        "middle_name": "TULASI SIRISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "MD446420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.