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ANU R TATAMBHOTLA MD PA
NPI 1114152188
Internal Medicine in Homosassa, FL

Active since May 20, 2009CLIA 10D0970476 · Waiver
4049 S OHIO AVE, HOMOSASSA, FL 34446(352) 628-1000(352) 628-1120 Get Directions Write a Review

NPPES record last updated: May 20, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anu R Tatambhotla Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANU R TATAMBHOTLA MD PA (NPI 1114152188) is a healthcare organization registered as an internal medicine in Homosassa, Florida and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Anu R Tatambhotla, Owner, as its authorized official.

NPPES Registry Identity

NPI1114152188
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANU R TATAMBHOTLA MD PA
Location Address4049 S OHIO AVEHomosassa, FL 34446-1138
Mailing AddressPo Box 5069Homosassa Springs, FL 34447-5069 · (352) 628-1000 · Fax (352) 628-1120
Phone(352) 628-1000
Fax(352) 628-1120
Organization SubpartNo
Authorized OfficialAnu R TatambhotlaOwner · (352) 628-1000
Enumeration DateMay 20, 2009
✔ NPI 1114152188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME73760
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License FLARNP2962952 (FL)
4049 S OHIO AVE, Homosassa, FL 34446
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anu R Tatambhotla Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anu R Tatambhotla MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anu Tatambhotla, MD
Internal Medicine
NPI 1477619559
4049 S OHIO AVE
Homosassa, FL 34446
(352) 628-1000
✔ PECOS✔ Accepts MedicareSame address

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 10D0970476

Anu R Tatambhotla MD PA · Homosassa, FL
Active · expires Feb 14, 2028
CLIA Number10D0970476
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorAnu R. Tatambhotla
Laboratory Phone(352) 628-1000
Laboratory LocationAnu R Tatambhotla MD PA4049 S Ohio Avenue, Homosassa, FL 34446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Anu R Tatambhotla MD PA's NPI number?

The NPI number for Anu R Tatambhotla MD PA is 1114152188. It was assigned to this organization in the NPPES registry on May 20, 2009.

Where is Anu R Tatambhotla MD PA located?

Anu R Tatambhotla MD PA is located at 4049 S Ohio Ave, Homosassa, FL 34446. The listed phone number is (352) 628-1000.

What is Anu R Tatambhotla MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anu R Tatambhotla MD PA enrolled in Medicare?

Yes. Anu R Tatambhotla MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anu R Tatambhotla MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Anu R Tatambhotla MD PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Anu R Tatambhotla MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0970476) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anu R Tatambhotla MD PA was last updated on May 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.