Individual provider Active NPI

Venkateswarlu G Muvva, MD

  • Addiction Medicine (Family Medicine) Physician
  • Lutz, FL
National Provider Identifier
1942480553
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
ME153422 Issued in FL
Practice address
2943 Allegra Way
Lutz, FL 33559-6998
Phone
(813) 922-1525
NPI assigned
Nov 12, 2007
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X ME153422 FL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD444680 PA

Addresses

Primary practice location

2943 Allegra Way
Lutz, FL 33559-6998

Mailing address

2943 Allegra Way
Lutz, FL 33559-6998
Phone (813) 934-2953

Other identifiers 1

IdentifierTypeStateIssuer
102734537MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120628000046 PA Practitioner - Geriatric MedicinePractitioner - Family PracticePractitioner - Hospitalist 2567627425 Reassigns benefits to 2 organizations
I20240509003312 FL Practitioner - Geriatric MedicinePractitioner - Addiction Medicine 2567627425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Addiction Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sgars Holdings PLLCGroup PAC ID 5092155762, 5 clinicians

Practice addresses (Care Compare)

2949 Allegra Way
Upwell Medical Clinic
Lutz, FL 33559-6998
Phone (201) 893-6136

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Hospitalist Services LLC CurrentSince Jan 29, 2014 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2012 Accepting new patients
Sgars Holdings PLLC Addiction Medicine CurrentSince May 1, 2024 Accepting new patients
Sgars Holdings PLLC CurrentSince Mar 17, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2012 Accepting new patients

Locations

2943 Allegra Way
Lutz, FL 33559
Phone (813) 922-1525

2949 Allegra Way
Lutz, FL 33559
Phone (201) 893-6136

16554 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 517-5989

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2501 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-2100

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4310 Londonderry Rd
Ste 109
Harrisburg, PA 17109
Phone (717) 614-4420

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1942480553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 ALLEGRA WAY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596998",
            "telephone_number": "813-934-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 ALLEGRA WAY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596998",
            "telephone_number": "813-922-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUVVA",
        "first_name": "VENKATESWARLU",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME153422",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD444680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102734537",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.