Organization Active NPI

Sunshine Medical Center LLC

  • Specialist
  • Sarasota, FL
National Provider Identifier
1770653107
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME76860 Issued in FL
Legal business name
SUNSHINE MEDICAL CENTER LLC
Practice address
5937 Beneva Rd
Sarasota, FL 34238-2504
Phone
(941) 918-2011
Fax
(941) 918-2046
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Dr. Soordal O Prakash, MDNPI 1649235409
Title
President
Phone
(941) 918-2011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME76860 FL Primary

Addresses

Primary practice location

5937 Beneva Rd
Sarasota, FL 34238-2504

Mailing address

5937 Beneva Rd
Sarasota, FL 34238-2504
Phone (941) 918-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000722 FL Part B Supplier - Clinic/Group Practice 2163454406 Receives reassigned benefits from 4 practitioners
Practice locations: Sarasota, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1002696Sunshine Medical Center LLC5937 Beneva Rd, Sarasota, FL 34238Certificate of waiverAug 12, 2026

National Provider Directory

National Provider Directory

Locations

5937 Beneva Rd
Sarasota, FL 34238
Phone (941) 918-2011

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1770653107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5937 BENEVA RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382504",
            "telephone_number": "941-918-2011",
            "fax_number": "941-918-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 BENEVA RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382504",
            "telephone_number": "941-918-2011",
            "fax_number": "941-918-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-10-19",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "SOORDAL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-918-2011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME76860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.