Koravangala Sundaresh (NPI# 1336147487, PAC ID# 8325205701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1336147487 |
| PAC ID by PECOS | 8325205701 |
| Professional Enrollment ID | I20120214000244 |
| Full Name | Koravangala Sundaresh |
| Address |
5810 State Rd Suite 54 New Port Richey FL 34652-6050 |
| Phone Number | 7278453890 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100256 | REGIONAL MEDICAL CENTER BAYONET POINT |
| 100191 | MEDICAL CENTER OF TRINITY |
| 100127 | MORTON PLANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5810 State Rd, Suite 54, New Port Richey, FL 34652-6050 | 7278453890 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 5% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 33% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
5810 STATE RD SUITE 54 |
| City | NEW PORT RICHEY |
| State | FL |
| Zip | 34652-6050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Marcus Boyles | Optometry | 4330 Us Hwy 19, New Port Richey, FL 34652 | |
| Norman H Buchman | Podiatry | Norman H Buchman and Assoc PC | 7240 Tarpon Ln, New Port Richey, FL 34652-1352 |
| Brian Christopher Carlton | Chiropractic | Bc Healthcare Consulting LLC | 7212 Us Hwy 19, New Port Richey, FL 34652-1641 |
| Omair Zafar | Podiatry | 6543 Madison St, New Port Richey, FL 34652-1926 | |
| James V Stelnicki | Podiatry | James V Stelnicki Dpm Pa | 6543 Madison St, New Port Richey, FL 34652-1926 |
| David O Ikudayisi | Internal Medicine | 6641 Madison St, Suite 3, New Port Richey, FL 34652-1966 | |
| Robbin De Witt | Certified Registered Nurse Anesthetist (crna) | Morton Plant Mease Outpatient Anesthesiology, Pa | 6600 Madison St, New Port Richey, FL 34652-1971 |
| Leonard P Johns | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | |
| Peter F Schultz | Certified Registered Nurse Anesthetist (crna) | Morton Plant Mease Outpatient Anesthesiology, Pa | 6600 Madison St, New Port Richey, FL 34652-1971 |
| Dan A Williams | Emergency Medicine | Pasco County Emergency Physicians LLC | 6600 Madison St, New Port Richey, FL 34652-1971 |
| Find all physicians in zip 34652 | |||
| City | NEW PORT RICHEY |
| Zip Code | 34652 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | NEW PORT RICHEY + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Koravangala Sundaresh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.