NPIMap

Organization Active NPI

Sita Duggirala MD PA

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1922441344
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME96395 Issued in FL
Legal business name
SITA DUGGIRALA MD PA
Practice address
7730 W Waters Ave
Tampa, FL 33615-1813
Phone
(813) 887-1010
Fax
(813) 887-1021
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Sita Lakshmi Duggirala, M.D.NPI 1710094040
Title
Owner
Phone
(813) 887-1010

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME96395 FL Primary

Addresses

Primary practice location

7730 W Waters Ave
Tampa, FL 33615-1813

Mailing address

7730 W Waters Ave
Tampa, FL 33615-1813
Phone (813) 887-1010

Other identifiers 2

IdentifierTypeStateIssuer
276288900MedicaidFL
11638012OtherFLCAQH

Other names 1

  • Waters Pediatric Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2052881Sita Duggirala MD PA7730 W Waters Ave, Tampa, FL 33615Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1922441344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151813",
            "telephone_number": "813-887-1010",
            "fax_number": "813-887-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151813",
            "telephone_number": "813-887-1010",
            "fax_number": "813-887-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITA DUGGIRALA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "DUGGIRALA",
        "authorized_official_first_name": "SITA",
        "authorized_official_middle_name": "LAKSHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-887-1010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME96395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276288900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11638012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waters Pediatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.