NPIMap

Individual provider Active NPI

Srinivas Tummala, MD

  • Vascular & Interventional Radiology Physician
  • Pembroke Pines, FL
National Provider Identifier
1922083120
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0077596 Issued in FL
Practice address
3 SW 129TH Ave Ste 101-102
Pembroke Pines, FL 33027-1775
Phone
(954) 852-3831
Fax
(954) 852-3832
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0077596 FL Primary

Addresses

Primary practice location

3 SW 129TH Ave Ste 101-102
Pembroke Pines, FL 33027-1775

Mailing address

5846 S Flamingo Rd Ste 315
Cooper City, FL 33330-3237
Phone (954) 852-3831

Other practice location 1

1150 NW 14th St Ste 508
Miami, FL 33136-2116
Phone (305) 243-6053

Other identifiers 2

IdentifierTypeStateIssuer
116768500MedicaidFL
113404800MedicaidFL

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
I20170125001826 FL Practitioner - Diagnostic Radiology 2769483213 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Radiology Partners of Florida LLCGroup PAC ID 8224554027, 17 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians
Florida Vascular Specialists, LLCGroup PAC ID 4082079827, 3 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone 5617661300601

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 243-4000

3 SW 129TH Ave
Suite 101 102
Pembroke Pines, FL 33027-1775
Phone (954) 852-3831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0077596FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
Universal Radiology Partners of Florida LLC Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Florida Vascular Specialists, LLC Vascular & Interventional Radiology CurrentSince Mar 1, 2023 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients
Radiology Associates of Dekalb PC Diagnostic Radiology Past Accepting new patients
Radiology Associates of Atlanta, PA Diagnostic Radiology Past Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology PastSince Apr 20, 2025 Accepting new patients

Locations

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

5846 S Flamingo Rd
Cooper City, FL 33330
Phone (954) 448-2350

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1150 NW 14th St
Ste 508
Miami, FL 33136
Phone (305) 243-5509

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

3345 Burns Rd
Ste 306
Palm Beach Gardens, FL 33410
Phone (561) 627-3130

3345 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 622-4900

3 SW 129th Ave
Ste 101102
Pembroke Pines, FL 33027
Phone (954) 852-3831

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

Networks

  • Freedom Health HMO Network

Organizations & group practices 12

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1922083120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 S FLAMINGO RD STE 315",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303237",
            "telephone_number": "954-852-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SW 129TH AVE STE 101-102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271775",
            "telephone_number": "954-852-3831",
            "fax_number": "954-852-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 NW 14th St Ste 508",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331362116",
            "country_code": "US",
            "telephone_number": "305-243-6053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMMALA",
        "first_name": "SRINIVAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "0077596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116768500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113404800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.