Sveta Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SVETA MEDICAL PLLC

Doing business as

Blossom Pediatric Care

Practice address

507 E Dr Martin Luther King Jr Blvd
112
Tampa, FL 33603-3932

Phone

(813) 229-6139

NPI assigned

Jul 25, 2009

Last updated

Dec 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Durga P Chintakayala, M.D.NPI 1083642078

Title

Physician

Phone

(813) 324-7029

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Blossom Pediatric Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Sveta Medical PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sveta Medical PLLC

  dba Tendercare Pediatrics

  • Family Medicine Physician
  • Wesley Chapel, FL
  • NPI 1376255828
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sveta Medical PLLC

  dba Tendercare Pediatrics

  • Family Medicine Physician
  • Wesley Chapel, FL
  • NPI 1376255828
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Durga Chintakayala, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1083642078

  FL

  Medicare reassignment NPD Authorized official
• Chih-Chien Charlton Chang, M.D.

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1740204585
  NPD (past)
• Lalitha Raguthu, M.D.

  • Pediatrics Physician
  • Wesley Chapel, FL
  • NPI 1851558480
  NPD (past)
• Radhika Ranganathan, MD

  • Pediatrics Physician
  • Wesley Chapel, FL
  • NPI 1679528111
  NPD (past)
• Latia White, APRN

  • Pediatric Nurse Practitioner
  • Bradenton, FL
  • NPI 1225354715

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1629208509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BAYSHORE BLVD UNIT 2207B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298840",
            "telephone_number": "718-483-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E DR MARTIN LUTHER KING JR BLVD",
            "address_2": "112",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033932",
            "telephone_number": "813-229-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVETA MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-25",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "CHINTAKAYALA",
        "authorized_official_first_name": "DURGA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-324-7029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME112476",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02625189",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014416300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRI",
            "identifier": "456160000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blossom Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.