Florida Endocrinology & Diabetes Center LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME108425 Issued in FL

Legal business name

FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC

Practice address

2763 1St Ave N
St Petersburg, FL 33713-8723

Phone

(727) 623-9913

Fax

(727) 803-4852

NPI assigned

Jun 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Venkata G Budharaju, M.D.NPI 1427114735

Title

Owner

Phone

(727) 623-9913

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBFFBA

Practitioners 5

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

• Venkata G. Budharaju, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pinellas Park, FL
  • NPI 1427114735
  Medicare reassignment Care Compare group NPD Authorized official
• Eilyn Gabriela Bustamante

  • Endocrinology, Diabetes & Metabolism Physician
  • Pinellas Park, FL
  • NPI 1265092456

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Samantha Sugarman, ARNP

  • Nurse Practitioner
  • Pinellas Park, FL
  • NPI 1700334612
  Medicare reassignment Care Compare group NPD
• Ajay Varanasi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • St Petersburg, FL
  • NPI 1104982420
  Medicare reassignment Care Compare group NPD
• Abigail Annelise Ledford, PA-C

  • Physician Assistant
  • Roanoke, VA
  • NPI 1932816642

  FL

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1790123271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40725",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337430725",
            "telephone_number": "727-269-5618",
            "fax_number": "727-265-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2763 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138723",
            "telephone_number": "727-623-9913",
            "fax_number": "727-803-4852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5775 5th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337107103",
            "country_code": "US",
            "telephone_number": "727-269-5618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "BUDHARAJU",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-623-9913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME108425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008900700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Doh
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• Florida Endovascular Associates LLC
• Florida Eye Center
• Florida Eye Center
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• Florida Family Medicine LLC

• Endocrinology, Diabetes & Metabolism Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.