Individual provider Active NPI

Sunit Srivastava, M.D.

  • Internal Medicine Physician
  • Largo, FL
National Provider Identifier
1881889467
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME105069 Issued in FL
Practice address
3600 Oak Manor LN Apt 46
Largo, FL 33774-1214
Phone
(727) 823-5555
NPI assigned
Sep 7, 2007
Last updated
Apr 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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 ME105069 FL Primary

Addresses

Primary practice location

3600 Oak Manor LN Apt 46
Largo, FL 33774-1214

Mailing address

1301 2ND Ave SW
Largo, FL 33770-3120
Phone (727) 584-7706

Other identifiers 3

IdentifierTypeStateIssuer
148C8OtherFLBCBS OF FLORIDA
002223200MedicaidFL
9848694OtherFLCIGNA

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
I20100721000864 FL Practitioner - Internal Medicine 6507998846 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Value Based Long Term Care F PCGroup PAC ID 2769922731, 18 clinicians
Legacy Health Medical Group, LLCGroup PAC ID 5193962173, 17 clinicians

Practice addresses (Care Compare)

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

801 W Bay Dr
Suite 605
Largo, FL 33770-3268
Phone (727) 489-3305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105069FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Being Community Center, Corp. Internal Medicine CurrentSince Dec 16, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
First Docs PC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
MG H2 LLC CurrentSince Jul 26, 2024 Accepting new patients
Value Based Long Term Care F PC CurrentSince Apr 19, 2025 Accepting new patients
Careconnectmd Florida P.a. CurrentSince Aug 1, 2024 Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

801 West Bay Dr
Ste 605
Largo, FL 33770
Phone (727) 489-3305

1120 NW 14th St
Miami, FL 33136
Phone (305) 243-2000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

2706 W Saint Isabel St
Tampa, FL 33607
Phone (813) 769-9571

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Interoperability endpoints

  • Direct secure messaging: ssrivastava189002@orlandohealth.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aviata at Bryan DairyLargo, FL, CCN 106116 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 10, 2025
Mar 10, 2025
Aviata at Sand KeyClearwater, FL, CCN 105373 Skilled nursing facility Adp of the SNF Jul 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1881889467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703120",
            "telephone_number": "727-584-7706",
            "fax_number": "727-586-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OAK MANOR LN APT 46",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741214",
            "telephone_number": "727-823-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "SUNIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "148C8",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002223200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9848694",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.