Anastasia Medical Group, LLC
NPI 1710940648ActiveOrganization· Internal Medicine· St Augustine, FL
Internal Medicine in St Augustine, Florida, registered in NPPES in April 2006. The authorized official on file is Suhas P. Neerukonda, MD, Managing Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710940648 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2006 |
| Last updated in NPPES | Jan 15, 2024 |
| Certified by provider | Jan 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — | — |
| Podiatrist | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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