Individual provider Active NPI

Suvarna Nomula, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1801972070
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME85978 Issued in FL
Practice address
20431 Bruce B Downs Blvd
New Tampa Medical Clinic
Tampa, FL 33647
Phone
(813) 994-9995
Fax
(813) 994-8019
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME85978 FL Primary

Addresses

Primary practice location

20431 Bruce B Downs Blvd
New Tampa Medical Clinic
Tampa, FL 33647

Mailing address

20431 Bruce B Downs Blvd
New Tampa Medical Clinic
Tampa, FL 33647
Phone (813) 994-9995

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
I20040506000482 FL Practitioner - Internal Medicine 5890783864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20431 Bruce B Downs Blvd
Tampa, FL 33647-2759
Phone (813) 994-9995

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Tampa Medical Clinic LLC Internal Medicine CurrentSince May 6, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

20431 Bruce B Downs Blvd
Tampa, FL 33647
Phone (813) 994-9995

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEABAA/Endpoint/CEABAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADHCAD

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 8

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801972070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20431 BRUCE B DOWNS BLVD",
            "address_2": "NEW TAMPA MEDICAL CLINIC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "813-994-9995",
            "fax_number": "813-994-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20431 BRUCE B DOWNS BLVD",
            "address_2": "NEW TAMPA MEDICAL CLINIC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "813-994-9995",
            "fax_number": "813-994-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMULA",
        "first_name": "SUVARNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.