NPIMap

Individual provider Active NPI

Durga Prasad Maganti, M.D.,

  • Infectious Disease Physician
  • Davenport, FL
National Provider Identifier
1619075579
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME96502 Issued in FL
Practice address
2243 North Blvd W
Davenport, FL 33837-8990
Phone
(863) 353-1394
Fax
(863) 638-5722
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME96502 FL
Infectious Disease Physician 207RI0200X ME96502 FL Primary

Addresses

Primary practice location

2243 North Blvd W
Davenport, FL 33837-8990

Mailing address

4354 Duck Down Lane
Winter Haven, FL 33884-3599
Phone (863) 353-1394

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
I20070419000472 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 9133224108 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suma and Durga, PAGroup PAC ID 8426185505, 5 clinicians

Practice addresses (Care Compare)

408 S 1St St
Lake Wales, FL 33853-4146
Phone (863) 353-1394

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wales Physician Services, LLC CurrentSince Jun 13, 2023 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Ridgewood Physician Services, LLC CurrentSince Dec 9, 2022 Accepting new patients
Suma & Durga PA CurrentSince Feb 11, 2010 Accepting new patients

Locations

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

2243 North Blvd W
Davenport, FL 33837
Phone (863) 270-1339

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

408 S 1st St
Lake Wales, FL 33853
Phone (863) 353-1394

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 6

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1619075579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4354 DUCK DOWN LANE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843599",
            "telephone_number": "863-353-1394",
            "fax_number": "863-638-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 NORTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378990",
            "telephone_number": "863-353-1394",
            "fax_number": "863-638-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANTI",
        "first_name": "DURGA",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96502",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME96502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.