NPIMap

Individual provider Active NPI

Purendra P Sinha, MD

  • Radiation Oncology Physician
  • Holiday, FL
National Provider Identifier
1750372918
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME33955 Issued in FL
Practice address
3000 US Hwy 19
Holiday, FL 34691
Phone
(727) 942-7070
Fax
(727) 934-9457
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME33955 FL Primary

Addresses

Primary practice location

3000 US Hwy 19
Holiday, FL 34691

Mailing address

3000 US Hwy 19
Holiday, FL 34691
Phone (727) 942-7070

Other identifiers 4

IdentifierTypeStateIssuer
202820OtherFLAVMED
P00421718OtherFLRAILROAD MEDICARE
26180OtherFLBCBS
378380400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME33955FLMDRadiation Oncology Physician
33955FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Cancer Center Live Oak LLC Radiation Oncology Past Accepting new patients
Integrated Community Oncology Network LLC Radiation Oncology Past Accepting new patients
Tampa Bay Surgical Group, LLP Past Accepting new patients
Memorial Southside Cancer Center LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1750372918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 US HWY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "34691",
            "telephone_number": "727-942-7070",
            "fax_number": "727-934-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 US HWY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "34691",
            "telephone_number": "727-942-7070",
            "fax_number": "727-934-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINHA",
        "first_name": "PURENDRA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME33955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "202820",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00421718",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26180",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378380400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.