Organization Active NPI

Southwest Florida Rheumatology LLC

  • Rheumatology Physician
  • Riverview, FL
National Provider Identifier
1871645119
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME 96110 Issued in FL
Legal business name
SOUTHWEST FLORIDA RHEUMATOLOGY LLC
Practice address
11954 Boyette Rd
Riverview, FL 33569-5601
Phone
(813) 672-2243
Fax
(813) 672-2245
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Shanmugapriya ReddyNPI 1710039045
Title
Owner
Phone
(813) 672-2243

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X ME 96110 FL Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

11954 Boyette Rd
Riverview, FL 33569-5601

Mailing address

11954 Boyette Rd
Riverview, FL 33569-5601
Phone (813) 672-2243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100507000321 FL Part B Supplier - Clinic/Group Practice 3779611025 Receives reassigned benefits from 3 practitioners
Practice locations: Riverview, FL; Sun City Center, FL

National Provider Directory

National Provider Directory

Locations

11954 Boyette Rd
Riverview, FL 33569
Phone (813) 672-2243

3909 Galen Ct
Ste 102
Sun City Ctr, FL 33573
Phone (813) 634-5502

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1871645119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-672-2243",
            "fax_number": "813-672-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11954 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-672-2243",
            "fax_number": "813-672-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FLORIDA RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SHANMUGAPRIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-672-2243"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME 96110",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.