NPIMap

Individual provider Active NPI

Ujwala R Iyyunni, MD

  • Internal Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1902907546
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0074910 Issued in FL
Practice address
8999 US Highway 19 N
Pinellas Park, FL 33782-5811
Phone
(727) 576-9999
Fax
(727) 576-5606
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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 ME0074910 FL Primary

Addresses

Primary practice location

8999 US Highway 19 N
Pinellas Park, FL 33782-5811

Mailing address

PO Box 24535
Tampa, FL 33623-4535
Phone (727) 823-2188

Other identifiers 4

IdentifierTypeStateIssuer
110221946OtherFLRR MCR LOC 2
43562OtherFLBLUE CROSS
P00658955OtherFLRR MCR LOC 1
253567000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000085 FL Practitioner - Internal Medicine 4385796671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sai Medical Center LLCGroup PAC ID 4284785338, 2 clinicians

Practice addresses (Care Compare)

8999 US 19
Pinellas Park, FL 33623-4535
Phone (727) 823-2188

Hospital & facility affiliations

  • HCA Florida Healthcare at Home Home health agency, Clearwater, FL, CCN 108467
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0074910FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Medical Center LLC Internal Medicine CurrentSince Jun 16, 2000 Accepting new patients

Locations

8999 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 576-9999

3831 16th St N
St Petersburg, FL 33703
Phone (727) 527-2139

3831 16th St N
#7631
St Petersburg, FL 33703

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 7

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1902907546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24535",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336234535",
            "telephone_number": "727-823-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8999 US HIGHWAY 19 N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825811",
            "telephone_number": "727-576-9999",
            "fax_number": "727-576-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYYUNNI",
        "first_name": "UJWALA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0074910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR LOC 2",
            "identifier": "110221946",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "43562",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR LOC 1",
            "identifier": "P00658955",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253567000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.