Nulife Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NULIFE MEDICAL GROUP LLC

Practice address

502 S Macdill Ave
Tampa, FL 33609-3039

Phone

(813) 465-9999

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Venkata Jayapratap Bireddy, MDNPI 1891815387

Title

Manager

Phone

(813) 465-9999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venkata Jayapratap Bireddy, M.D

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1891815387

  FL, Internal Medicine

  Medicare reassignment NPD Authorized official
• Ethan Paul Reid, APRN

  • Adult Health Nurse Practitioner
  • St. Petersburg, FL
  • NPI 1265951891

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1750140885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093039",
            "telephone_number": "813-465-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093039",
            "telephone_number": "813-465-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULIFE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "BIREDDY",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "JAYAPRATAP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-465-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuevo Horizonte Assisted Living Facility, Inc.
• Geraldine Nuevo
• Kevin Nugent Nugent
• Segail Nugent
• Mark C Nuguid, APRN
• James Robert Nunamaker, RPH.
• Virginia C Nunamaker, MD
• Yanielis Nunez Arcia
• Yuleini Nunez de Leon
• Susset Nunez Garcia

• All providers in Tampa, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.