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DR. VENKATA R POTHURAJU MD
NPI 1194843763
Family Medicine in Sanford, FL

Active since March 26, 2007PECOS Enrolled
4930 E LAKE MARY BLVD, SANFORD, FL 32771(407) 322-8645(407) 330-5074 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Venkata R Pothuraju Md NPPES

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

DR. VENKATA R POTHURAJU MD (NPI 1194843763) is an individual family medicine provider in Sanford, Florida, licensed in Florida (ME103700) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194843763
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VENKATA R POTHURAJUCredential: MD
Location Address4930 E LAKE MARY BLVDSanford, FL 32771-5003
Mailing Address4930 E Lake Mary BlvdSanford, FL 32771-5003 · (407) 322-8645 · Fax (407) 330-5074
Phone(407) 322-8645
Fax(407) 330-5074
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1194843763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME103700
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4930 E LAKE MARY BLVD, Sanford, FL 32771
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Other Identifiers 1

Medicaid000998900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Venkata R Pothuraju Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Venkata Pothuraju reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carespot Of Orlando Hsi Urgent Care LLC
18 mi
Urgent Care
311 SOUTH AVALON PARK BLVD
Orlando, FL 32828
  • Reassigned Medicare billing, Florida enrollment
  • 133 clinicians in this Medicare group
NPI 1306367503 (407) 295-7557
Shands/Solantic Joint Venture, LLC
90 mi
Urgent Care
720 SW 2ND AVE., 160A
Gainesville, FL 32601
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group
NPI 1558595223 (352) 240-8000
Solantic Of Jacksonville, LLC
91 mi
Urgent Care
151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 189 clinicians in this Medicare group
NPI 1407893100 (904) 543-3677
Hma/Solantic Joint Venture, LLC
92 mi
Urgent Care
1820 58TH AVE., UNIT 110
Vero Beach, FL 32966
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
NPI 1689812109 (772) 257-3200
Solantic/South Florida, LLC
185 mi
Urgent Care
1205 N UNIVERSITY DR
Coral Springs, FL 33071
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group
NPI 1851344378 (954) 780-8134

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32771 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims17 services$4.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL FLORIDA FAMILY HEALTH CENTER
Clinic/Center (Community Health)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
CHIVAS OWLE
Pharmacist
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8653
DR. WILLIAM RODRIGO VIVAS DPM
Podiatrist (Foot Surgery)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
SIMONE HARRIS APRN
Nurse Practitioner (Family)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
DR. DANIEL R BIEDA DO
Family Medicine
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
KIMCHEREE JACKSON
Nurse Practitioner
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
LAUREN CLARK BARNHART APRN
Nurse Practitioner (Pediatrics)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645
DAISY RENTERIA PA
Physician Assistant
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Seminole County (407) 322-8645

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 Venkata Pothuraju's NPI number?

The NPI number for Venkata Pothuraju is 1194843763. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Venkata Pothuraju located?

Venkata Pothuraju practices at 4930 E Lake Mary Blvd, Sanford, FL 32771. The listed phone number is (407) 322-8645.

What is Venkata Pothuraju's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Venkata Pothuraju enrolled in Medicare?

Yes. Venkata Pothuraju is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Venkata Pothuraju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venkata Pothuraju reassigns Medicare benefits to 5 organizations: Carespot Of Orlando Hsi Urgent Care LLC (Orlando, FL), Shands/Solantic Joint Venture, LLC (Gainesville, FL), Solantic Of Jacksonville, LLC (Ponte Vedra, FL), Hma/Solantic Joint Venture, LLC (Vero Beach, FL) and Solantic/South Florida, LLC (Coral Springs, FL). Each 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 Venkata Pothuraju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Venkata Pothuraju accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list Venkata Pothuraju 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 Venkata Pothuraju was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.