SUNSHINE STATE MEDICAL CLINIC PA
NPI 1063683126
Internal Medicine in Ocala, FL
About Sunshine State Medical Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNSHINE STATE MEDICAL CLINIC PA (NPI 1063683126) is a healthcare organization registered as an internal medicine in Ocala, Florida and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Uday Shanker Mishra, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sunshine State Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Sunshine State Medical Clinic PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0962181
Sunshine State Medical Clinic PA · Ocala, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sunshine State Medical Clinic PA's NPI number?
The NPI number for Sunshine State Medical Clinic PA is 1063683126. It was assigned to this organization in the NPPES registry on March 17, 2008.
Where is Sunshine State Medical Clinic PA located?
Sunshine State Medical Clinic PA is located at 1305 SE 25th Loop Ste 103, Ocala, FL 34471. The listed phone number is (352) 369-5440.
What is Sunshine State Medical Clinic PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sunshine State Medical Clinic PA enrolled in Medicare?
Yes. Sunshine State Medical Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sunshine State Medical Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sunshine State Medical Clinic PA, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sunshine State Medical Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0962181) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sunshine State Medical Clinic PA accept?
Health plans from Ambetter Health and Ambetter of Alabama list Sunshine State Medical Clinic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sunshine State Medical Clinic PA was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sunshine State Medical Clinic Pa · NPI 1063683126
Internal Medicine organization in Ocala, Florida. Organization record, active in the CMS NPPES registry since March 17, 2008.
## Identity
- **NPI:** 1063683126 (Entity type: Organization)
- **Enumerated:** March 17, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Uday Mishra, PRESIDENT
## Practice location
- **Address:** 1305 SE 25TH LOOP STE 103, Ocala, FL 34471-6090
- **Phone:** (352) 369-5440 · **Fax:** (352) 369-5442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2008
- **Other identifiers:** Medicare UPIN G61117 (FL); Medicare PIN 45402 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063683126) · Data from the CMS NPPES public registry.