Individual provider Active NPI

Sarasija Ravindra Nagella, M.D.

  • Obstetrics & Gynecology Physician
  • Brandon, FL
National Provider Identifier
1750672895
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 123876 Issued in FL
Practice address
515 S Kings Ave Ste 3100
Brandon, FL 33511-6060
Phone
(813) 681-9171
Fax
(813) 681-7580
NPI assigned
Apr 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 123876 FL Primary

Addresses

Primary practice location

515 S Kings Ave Ste 3100
Brandon, FL 33511-6060

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other identifiers 1

IdentifierTypeStateIssuer
015098100MedicaidFL

Other names 1

  • Nithya Nagella Other name

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
I20150921000035 FL Practitioner - Obstetrics/Gynecology 7113243387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

515 S Kings Ave
Suite 3100
Brandon, FL 33511-5921
Phone (813) 681-9171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 123876FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Aug 1, 2015 Accepting new patients

Locations

515 S Kings Ave
Brandon, FL 33511
Phone (813) 681-9171

515 S Kings Ave
Ste 3100
Brandon, FL 33511
Phone (813) 681-9171

515 S Kings Ave
Ste 1100
Brandon, FL 33511
Phone (813) 413-5213

731 S Parsons Ave
Brandon, FL 33511
Phone (813) 499-1500

13123 Kings Lake Dr
Unit 102
Gibsonton, FL 33534
Phone (813) 574-1350

5470 Lithia Pinecrest Rd
Lithia, FL 33547
Phone (813) 675-9181

2108 Thonotosassa Rd
Plant City, FL 33563
Phone (813) 752-4103

6606 Simmons Loop
Ste 200
Riverview, FL 33578

6606 Simmons Loop
Riverview, FL 33578
Phone (813) 574-1350

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

5002 W Lemon St
Tampa, FL 33609

Organizations & group practices 2

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 1

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": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1750672895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S KINGS AVE STE 3100",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116060",
            "telephone_number": "813-681-9171",
            "fax_number": "813-681-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGELLA",
        "first_name": "SARASIJA",
        "middle_name": "RAVINDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-24",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 123876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015098100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITHYA",
            "last_name": "NAGELLA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.