Individual provider Active NPI

Sunil Kumar Batlahally Venkatarayappa, M.D.,

  • Neonatal-Perinatal Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1760822738
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
77319 Issued in AZ
Practice address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone
(928) 779-2120
NPI assigned
Jul 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 18948 NV
Neonatal-Perinatal Medicine Physician 2080N0001X 161059 FL
Student in an Organized Health Care Education/Training Program 390200000X 18360 FL
Neonatal-Perinatal Medicine Physician 2080N0001X 77319 AZ Primary

Addresses

Primary practice location

1200 N Beaver St
Flagstaff, AZ 86001-3118

Mailing address

5151 N 9TH Ave
Intensive Care Nursery, 2ND Floor
Pensacola, FL 32504-8721
Phone (305) 206-4687

Other practice location 1

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (305) 585-6042

Other practice location 2

5151 N 9th Ave
Intensive Care Nursery, 2nd Floor
Pensacola, FL 32504
Phone (850) 416-4501

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
I20260108000926 FL Practitioner - Pediatric Medicine 0547590374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77319AZMDNeonatal-Perinatal Medicine Physician
161059FLMDNeonatal-Perinatal Medicine Physician
18360FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Oct 24, 2025 Accepting new patients
The Nemours Foundation CurrentSince Oct 24, 2025 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince May 13, 2025 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince May 13, 2025 Accepting new patients
Pokroy Medical Group of Nevada, LTD. Neonatal-Perinatal Medicine Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700

5151 N 9th Ave
Fl 2
Pensacola, FL 32504
Phone (850) 416-4501

Interoperability endpoints

  • Direct secure messaging: sbatlahallyvenkatarayappa145489@direct.nemours.org

Organizations & group practices 7

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": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1760822738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N 9TH AVE",
            "address_2": "INTENSIVE CARE NURSERY, 2ND FLOOR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "305-206-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-779-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3186 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092317",
            "country_code": "US",
            "telephone_number": "305-585-6042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 N 9th Ave",
            "address_2": "Intensive Care Nursery, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "32504",
            "country_code": "US",
            "telephone_number": "850-416-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATLAHALLY VENKATARAYAPPA",
        "first_name": "SUNIL KUMAR",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-04",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NV",
            "license": "18948",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "FL",
            "license": "161059",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "18360",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AZ",
            "license": "77319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.