Active NPI
Tummala R Prasad, MD
- Internal Medicine Physician
- Fort Pierce, FL
National Provider Identifier
1649308727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0039624
- Practice address
- 2215 Nebraska Ave
#2A
Fort Pierce, FL 34950 - Phone
- (772) 466-4435
- Fax
- (772) 466-4435
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0039624 | FL | Primary |
| Infectious Disease Physician | 207RI0200X | ME0039624 | FL |
Addresses
Primary practice location
2215 Nebraska Ave
#2A
Fort Pierce, FL 34950
Mailing address
2215 Nebraska Ave
#2A
Fort Pierce, FL 34950
Phone (772) 466-4435
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110120000044 | FL | Practitioner - Infectious Disease | 0840479036 | Practice locations: Fort Pierce, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2215 Nebraska Ave
2A
Fort Pierce, FL 34950-4866
Phone (772) 466-4435
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0039624 | FL | MD | Infectious Disease Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida St. Lucie Hospital
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649308727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 NEBRASKA AVE",
"address_2": "#2A",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "34950",
"telephone_number": "772-466-4435",
"fax_number": "772-466-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 NEBRASKA AVE",
"address_2": "#2A",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "34950",
"telephone_number": "772-466-4435",
"fax_number": "772-466-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASAD",
"first_name": "TUMMALA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0039624",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME0039624",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
- Javier M Prado, MD
- Oma Vanessa Prag
- Pramod Joseph Hospital Practice LLC
- Pramod Joseph MD LLC (Treasure Coast Gastro Health)
- Prasad Korlipara. M.D.
- Alejandra Praxedes, MS
- Precious Health Care Services Inc.
- Premier Physical Therapy Sport Medicine Inc
- Premier Plus Medical Supplies Inc
- Premise Health of Florida Medical PA (St Lucie - Ft Pierce)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.