Individual provider Active NPI

Isuruni Gayanathika Sonnadara, MD

  • General Practice Physician
  • Ocala, FL
National Provider Identifier
1972168938
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1431 Issued in FL
Practice address
3200 SW 34TH Ave Ste 202
Ocala, FL 34474-7408
Phone
(352) 505-2575
Fax
(352) 505-7329
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019009322 MO
General Practice Physician 208D00000X ACN1431 FL Primary

Addresses

Primary practice location

3200 SW 34TH Ave Ste 202
Ocala, FL 34474-7408

Mailing address

6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Phone (407) 845-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, 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
I20200212000240 MO Practitioner - Family Practice 9436585346
I20220620000224 FL Practitioner - General Practice 9436585346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Home Alliance, LLCGroup PAC ID 6406096536, 60 clinicians

Practice addresses (Care Compare)

3200 SW 34TH Ave
Suite 202
Ocala, FL 34474-7408
Phone (352) 505-2575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019009322MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Home Alliance LLC CurrentSince Dec 10, 2023 Accepting new patients
Health First Primary Care, L.L.C General Practice CurrentSince Apr 1, 2023 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients
Ozark Valley Medical Clinic, LLC Family Medicine Past Accepting new patients

Locations

4729 US Highway 98 S
Ste 201
Lakeland, FL 33812
Phone (863) 646-9663

8000 SW 117th Ave
Ste 205
Miami, FL 33183
Phone (305) 273-9100

6675 Westwood Blvd
Ste 475
Orlando, FL 32821
Phone (407) 845-0384

7747 W Hillsborough Ave
Tampa, FL 33615
Phone (813) 491-3060

208 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603
Phone (813) 223-3300

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1972168938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 34TH AVE STE 202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747408",
            "telephone_number": "352-505-2575",
            "fax_number": "352-505-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNADARA",
        "first_name": "ISURUNI",
        "middle_name": "GAYANATHIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019009322",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.