SUDARSAN R KAMISETTY MD
NPI 1376793331
Pediatrics - Adolescent Medicine in Brandon, FL

Active since September 26, 2008CLIA 10D0962966 · Waiver
681 W LUMSDEN RD, BRANDON, FL 33511(813) 655-7726(813) 655-5617 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sudarsan R Kamisetty Md NPPES

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

SUDARSAN R KAMISETTY MD (NPI 1376793331) is an individual adolescent medicine provider in Brandon, Florida, licensed in Florida (ME70832) and active in the NPI registry since September 2008. He holds a CLIA Waiver certificate valid through July 18, 2027.

NPPES Registry Identity

NPI1376793331
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameSUDARSAN R KAMISETTYCredential: MD
Location Address681 W LUMSDEN RDBrandon, FL 33511-5911
Mailing Address681 W Lumsden RdBrandon, FL 33511-5911 · (813) 655-7726 · Fax (813) 655-5617
Fax(813) 655-5617
Sole ProprietorYes
Enumeration DateSeptember 26, 2008
NPI 1376793331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in FL · ME70832
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

681 W LUMSDEN RD, Brandon, FL 33511

Accepted Insurance

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 10D0962966

Sudarsan Kamisetty MD PA · Brandon, FL
Active · expires Jul 18, 2027
CLIA Number10D0962966
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorSudarsan R. Kamisetty
Laboratory Phone(813) 655-7726
Laboratory LocationSudarsan Kamisetty MD PA681 W Lumsden Rd, Brandon, FL 33511
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
681 W LUMSDEN RD
BRANDON, FL 33511
Physician Assistant
681 W LUMSDEN RD
BRANDON, FL 33511
Pediatrics (Adolescent Medicine)
681 W LUMSDEN RD
BRANDON, FL 33511
Pediatrics
681 W LUMSDEN RD
BRANDON, FL 33511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376793331, enumerated as an "individual" on September 26, 2008.

The provider is located at 681 W LUMSDEN RD BRANDON, FL 33511 and the phone number is (813) 655-7726.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.