Individual provider Active NPI

Sravanthi Ennala, M.D.

  • Pulmonary Disease Physician
  • Orange City, FL
National Provider Identifier
1679852883
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME174216 Issued in FL
Practice address
1075 Town Center Dr
Orange City, FL 32763-8360
Phone
(386) 917-0333
Fax
(386) 917-0335
NPI assigned
Aug 5, 2011
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME174216 FL Primary

Addresses

Primary practice location

1075 Town Center Dr
Orange City, FL 32763-8360

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 445-0346

Other practice location 1

8400 Red Bug Lake Rd Ste 2010
Oviedo, FL 32765-6838
Phone (407) 967-9794

Other practice location 2

749 Stirling Center Pl
Lake Mary, FL 32746-4856
Phone (407) 321-8230

Other identifiers 1

IdentifierTypeStateIssuer
127397200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627002132 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2668615782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Practice Associates MD PAGroup PAC ID 3779474333, 22 clinicians

Practice addresses (Care Compare)

1075 Town Ctr Dr
Orange City, FL 32763-8360
Phone (386) 917-0333

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Apr 26, 2017 Accepting new patients
Pulmonary Practice Associates MD PA Pulmonary Disease CurrentSince May 24, 2025 Accepting new patients
Nautilus Health Care Group LLC Internal Medicine PastSince May 24, 2025 Accepting new patients

Locations

749 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 321-8230

749 Stirling Center Pl
Bldg 8
Lake Mary, FL 32746
Phone (407) 321-8230

1075 Town Center Dr
Orange City, FL 32763
Phone (386) 917-0333

8400 Red Bug Lake Rd
Ste 2010
Oviedo, FL 32765
Phone (321) 304-6249

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sravanthi.ennalamd.p1@direct.ppafl.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1679852883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-917-0333",
            "fax_number": "386-917-0335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 Red Bug Lake Rd Ste 2010",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656838",
            "country_code": "US",
            "telephone_number": "407-967-9794",
            "fax_number": "407-321-0388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "749 Stirling Center Pl",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464856",
            "country_code": "US",
            "telephone_number": "407-321-8230",
            "fax_number": "407-321-0388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENNALA",
        "first_name": "SRAVANTHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME174216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127397200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.