Active NPI
Sumalatha Gangina, M.D
- Infectious Disease Physician
- Davenport, FL
National Provider Identifier
1700041282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME101106
- Practice address
- 2243 North Blvd W
Davenport, FL 33837-8990 - Phone
- (863) 353-1394
- Fax
- (863) 638-5722
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME101106 | FL | Primary |
| Internal Medicine Physician | 207R00000X | ME101106 | FL |
Addresses
Primary practice location
2243 North Blvd W
Davenport, FL 33837-8990
Mailing address
4354 Duck Down LN
Winter Haven, FL 33884-3293
Phone (863) 968-3635
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 |
|---|---|---|---|---|
| I20120509000412 | FL | Practitioner - Infectious Disease | 3779745773 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suma and Durga, PA
Practice addresses (Care Compare)
408 S 1St St
Lake Wales, FL 33853-4146
Phone (863) 353-1394
Hospital & facility affiliations
- Baycare Home Care Inc
- Vitalcaring Group
- Amedisys Home Health
- Adventhealth Heart of Florida
- Adventhealth Lake Wales
- Adventhealth Sebring
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suma & Durga PA | Current | Accepting new patients |
Locations
2243 North Blvd W
Davenport, FL 33837
Phone (863) 270-1339
408 S 1st St
Lake Wales, FL 33853
Phone (863) 353-1394
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Adventhealth Heart of Florida | Hospital | Corporate Director | Aug 21, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
Corporate Director
Organizations & group practices 1
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 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Home Health Agency
- Winter Haven, FL
- NPI 1982662276
-
- Home Health Agency
- Bradenton, FL
- NPI 1295728186
-
- Home Health Agency
- Lakeland, FL
- NPI 1952309171
-
- Home Health Agency
- Winter Haven, FL
- NPI 1427607555
-
- Home Health Agency
- Tampa, FL
- NPI 1467757641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1700041282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4354 DUCK DOWN LN",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338843293",
"telephone_number": "863-968-3635",
"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": "GANGINA",
"first_name": "SUMALATHA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME101106",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME101106",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.