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AMANDA SURUJBALI APRN
NPI 1407689664
Nurse Practitioner - Gerontology in Tampa, FL

Active since August 22, 2024PECOS EnrolledAccepts Medicare Assignment
2727 W DR MARTIN LUTHER KING JR BLVD STE 460, TAMPA, FL 33607(813) 879-4328(813) 443-8152 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Nov 21, 2024, Aug 22, 2024 (3 updates tracked since 2024).

About Amanda Surujbali Aprn NPPES

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

AMANDA SURUJBALI APRN (NPI 1407689664) is an individual gerontology provider in Tampa, Florida, licensed in Florida (APRN11034927) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407689664
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameAMANDA SURUJBALICredential: APRN
Location Address2727 W DR MARTIN LUTHER KING JR BLVD STE 460Tampa, FL 33607-6001
Mailing Address2995 Drew StClearwater, FL 33759-3012 · (727) 315-7496
Phone(813) 879-4328
Fax(813) 443-8152
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2024
Last NPPES UpdateMarch 10, 20263 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1407689664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11034927
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 11034927 (FL)
2727 W DR MARTIN LUTHER KING JR BLVD STE 460, Tampa, FL 33607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Surujbali Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335671395
PECOS Enrollment IDI20241015002520, I20260209003728
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33607 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.

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.

MS. JACQUELINE L BELLOMO ARNP
Nurse Practitioner
2727 W DR MARTIN LUTHER KING JR BLVD STE 460
TAMPA, FL 33607
Hillsborough County (813) 879-4328
JOHN MANLEY BARNETT PA-C
Physician Assistant (Surgical)
2727 W DR MARTIN LUTHER KING JR BLVD STE 460
TAMPA, FL 33607
Hillsborough County (813) 879-4328
DR. TERRENCE D JULIEN MD
Psychiatry & Neurology (Neurology)
2727 W DR MARTIN LUTHER KING JR BLVD STE 460
TAMPA, FL 33607
Hillsborough County (813) 879-4328
MS. JULIE CHRISTINE SACERDOTE PA-C
Physician Assistant
2727 W DR MARTIN LUTHER KING JR BLVD STE 460
TAMPA, FL 33607
Hillsborough County (813) 879-4328

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 Amanda Surujbali's NPI number?

The NPI number for Amanda Surujbali is 1407689664. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Amanda Surujbali located?

Amanda Surujbali practices at 2727 W Dr Martin Luther King Jr Blvd Ste 460, Tampa, FL 33607. The listed phone number is (813) 879-4328.

What is Amanda Surujbali's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Amanda Surujbali enrolled in Medicare?

Yes. Amanda Surujbali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Surujbali accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Amanda Surujbali 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.

Is Amanda Surujbali affiliated with any hospitals?

According to CMS data, Amanda Surujbali is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Surujbali was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.