Suhas P Neerukonda, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 78969 Issued in FL

Practice address

1301 Plantation Island Dr
Suite 203
St Augustine, FL 32080

Phone

(904) 461-0821

Fax

(904) 461-0823

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anastasia Medical Group, LLCGroup PAC ID 6709889926, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bravery Home Healthcare Home health agency, St Augustine, FL, CCN 687344
• Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
• Flagler Home Care LLC Home health agency, Saint Augustine, FL, CCN 108211
• Community Home Health Care Home health agency, St Augustine, FL, CCN 107159
• Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
• Community Hospice of Northeast Florida Inc Hospice, Jacksonville, FL, CCN 101500
• Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as apm

Quality

77.66

Promoting interoperability

70.54

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suhas.neerukonda@amg.eclinicaldirectplus.com
• Direct secure messaging: sneerukonda743042@direct.shands.ufl.edu

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.

• Anastasia Medical Group, LLC

  • Internal Medicine Physician
  • St Augustine, FL
  • NPI 1710940648
  Medicare reassignment Care Compare group NPD Authorized official
• Community Hospice of Northeast Florida Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1932393717
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altercare LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1871529347
  Care Compare affiliation
• Bravery NE FL LLC

  • Home Health Agency
  • Saint Augustine, FL
  • NPI 1619742657
  Care Compare affiliation
• Brooks Home Care Advantage, Inc.

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1184895740
  Care Compare affiliation
• Caretenders Visiting Services of St. Augustine, LLC

  • Home Health Agency
  • St Augustine, FL
  • NPI 1235236449
  Care Compare affiliation
• Community Hospice of N.E. Florida

  • Community Based Hospice Care Agency
  • Jacksonville, FL
  • NPI 1134126774
  Care Compare affiliation
• Flagler Home Care, LLC

  • Home Health Agency
  • Saint Augustine, FL
  • NPI 1649791823
  Care Compare affiliation
• Flagler Hospital Inc

  • General Acute Care Hospital
  • St Augustine, FL
  • NPI 1144211020
  Care Compare affiliation
• Flagler Hospital, Inc.

  • Urgent Care Clinic/Center
  • Saint Augustine, FL
  • NPI 1447527965

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1538145602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR",
            "address_2": "SUITE 203",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32080",
            "telephone_number": "904-461-0821",
            "fax_number": "904-461-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR",
            "address_2": "SUITE 203",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32080",
            "telephone_number": "904-461-0821",
            "fax_number": "904-461-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEERUKONDA",
        "first_name": "SUHAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 78969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257641400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49308",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Kay Neal, PT, DPT
• Mary Boyd Neal, PH.D., LMFT
• Monica Neal
• Denise J Nealey, MS
• Laila Benzakour Needham, MD
• Emanuela Negrescu, DMD
• Matt T Neibaur, MD
• Amanda Vanessa Neira
• Russell W Nelligan, MD
• Diamond Ann Nelson

• Internal Medicine Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.

Verify at the official NPI Registry.