New Tampa Medical Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME85978 Issued in FL

Legal business name

NEW TAMPA MEDICAL CLINIC LLC

Practice address

20431 Bruce B Downs Blvd
Tampa, FL 33647-2759

Phone

(813) 994-9995

Fax

(813) 994-8019

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suvarna Nomula, M.DNPI 1801972070

Title

Ceo

Phone

(813) 994-9995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suvarna Nomula, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1801972070
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1962686931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20431 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472759",
            "telephone_number": "813-994-9995",
            "fax_number": "813-994-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20431 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472759",
            "telephone_number": "813-994-9995",
            "fax_number": "813-994-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TAMPA MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "NOMULA",
        "authorized_official_first_name": "SUVARNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-994-9995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Tampa Health Research, Inc
• New Tampa Health, Inc
• New Tampa Hospitalist LLC
• New Tampa Imaging Center
• New Tampa Medical Center PA
• New Tampa Psychological Services, Inc.
• New Tampa Surgical Assistance, LLC
• New Tampa Urology P a
• New Vista Diagnostic Imaging Services LLC
• New Way Day Services, Inc.

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.