Vamsi Nukala, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME156034 Issued in FL

Practice address

1501 S Pinellas Ave Ste G
Tarpon Springs, FL 34689-1950

Phone

(727) 943-3405

NPI assigned

Jul 4, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Envision Health Management LLC

  • Health Service Clinic/Center
  • Tarpon Springs, FL
  • NPI 1477379550
  Medicare reassignment NPD
• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256

  Internal Medicine

  Medicare reassignment NPD
• Adventhealth Primary Care Network Inc

  • Family Medicine Physician
  • Altamonte Springs, FL
  • NPI 1093493637

  Internal Medicine

  NPD
• Nukala Med Inc

  • Internal Medicine Physician
  • Porter Ranch, CA
  • NPI 1558184747
  NPD

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1669737706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S PINELLAS AVE STE G",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891950",
            "telephone_number": "727-943-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S PINELLAS AVE STE G",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891950",
            "telephone_number": "727-943-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUKALA",
        "first_name": "VAMSI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-04",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35125917",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.142028",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME156034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124674",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Andrea Nickolakis, M.D.
• Nicolas Pavouris M D P a
• Alice Sezine Nkembo
• North Star Behavioral Health LLC
• Courtney Nowicki, DDS, MS
• Einar Ollander O, C.P.
• Oakwood East Retirement Center,Inc
• Michael T. Obreiter, LCAS
• Rashidat N Okuboye, MA, CPT
• Old Tarpon Chiropractic, PA

• Internal Medicine Physician in Tarpon Springs, FL
• Providers in Tarpon Springs, 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 Feb 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.