Individual provider Active NPI

Karthik Sugumaran, D.O.

  • Surgery Physician
  • Largo, FL
National Provider Identifier
1831547660
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS15444 Issued in FL
Practice address
1258 W Bay Dr Ste D
Largo, FL 33770-2277
Phone
(727) 586-3751
Fax
(727) 587-9340
NPI assigned
Jun 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X OS15444 FL Primary

Addresses

Primary practice location

1258 W Bay Dr Ste D
Largo, FL 33770-2277

Mailing address

1258 W Bay Dr Ste D
Largo, FL 33770-2277
Phone (727) 586-3751

Other practice location 1

3253 N McMullen Booth Rd Ste 200D
Clearwater, FL 33761-2043
Phone (727) 586-3751

Other practice location 2

2102 Trinity Oaks Blvd Ste 201
Trinity, FL 34655-4409
Phone (727) 586-3751

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
I20230829001336 FL Practitioner - General Surgery 0143551242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Bay Surgical Group LLPGroup PAC ID 8224113527, 16 clinicians

Practice addresses (Care Compare)

2901 W Busch Blvd
Suite 707
Tampa, FL 33618-4569

3000 Medical Park Dr
Suite 400
Tampa, FL 33613-4698
Phone (813) 933-9666

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Clearwater, FL, CCN 109687
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score
82.43 of 100Reported as group
Quality
66.74
Promoting interoperability
87
Improvement activities
40
Cost
68.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11
Melanoma (skin cancer) excision1-10
Removal of tissue33
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Surgical Group, LLP Single Specialty CurrentSince Oct 1, 2023 Accepting new patients

Locations

2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666

1258 West Bay Dr
Ste D
Largo, FL 33770
Phone (727) 420-6374

1258 West Bay Dr
Largo, FL 33770
Phone (727) 586-3751

2901 W Busch Blvd
Ste 707
Tampa, FL 33618
Phone (813) 254-3016

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: karthiksugumaran@tbsg.allscriptsdirect.net

Organizations & group practices 1

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 6

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1831547660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 W BAY DR STE D",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702277",
            "telephone_number": "727-586-3751",
            "fax_number": "727-587-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 W BAY DR STE D",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702277",
            "telephone_number": "727-586-3751",
            "fax_number": "727-587-9340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3253 N McMullen Booth Rd Ste 200D",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612043",
            "country_code": "US",
            "telephone_number": "727-586-3751",
            "fax_number": "727-587-9340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2102 Trinity Oaks Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554409",
            "country_code": "US",
            "telephone_number": "727-586-3751",
            "fax_number": "727-587-9340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGUMARAN",
        "first_name": "KARTHIK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS15444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.