NIRMALA SIVAPRAKASAPILLAI MD
NPI 1477729408
Internal Medicine - Gastroenterology in Tarpon Springs, FL
About Nirmala Sivaprakasapillai Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIRMALA SIVAPRAKASAPILLAI MD (NPI 1477729408) is an individual gastroenterology provider in Tarpon Springs, Florida, licensed in Florida (ME104261) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and maintains a secondary practice location in Largo.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nirmala Sivaprakasapillai Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Nirmala Sivaprakasapillai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 1,719 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth North Pinellas
Acute Care Hospitals · Tarpon Springs, FLAdventhealth Tampa
Acute Care Hospitals · Tampa, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34689 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TARPON SPRINGS, FL 34689
TARPON SPRINGS, FL 34689
TARPON SPGS, FL 34689
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 Nirmala Sivaprakasapillai's NPI number?
The NPI number for Nirmala Sivaprakasapillai is 1477729408. It was assigned to this individual provider in the NPPES registry on April 30, 2008. The provider is also known as Nirmala Pillai MD.
Where is Nirmala Sivaprakasapillai located?
Nirmala Sivaprakasapillai practices at 1501 S Pinellas Ave Ste G, Tarpon Springs, FL 34689. The listed phone number is (727) 943-3405.
What is Nirmala Sivaprakasapillai's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Nirmala Sivaprakasapillai enrolled in Medicare?
Yes. Nirmala Sivaprakasapillai 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.
Which organization bills Medicare for Nirmala Sivaprakasapillai's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nirmala Sivaprakasapillai reassigns Medicare benefits to Florida Hospital Physician Group Inc (Tampa, FL). The 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 Nirmala Sivaprakasapillai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nirmala Sivaprakasapillai accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 3 other insurers list Nirmala Sivaprakasapillai 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 Nirmala Sivaprakasapillai affiliated with any hospitals?
According to CMS data, Nirmala Sivaprakasapillai is affiliated with Adventhealth North Pinellas and Adventhealth Tampa.
When was this NPI record last updated?
The NPPES record for Nirmala Sivaprakasapillai was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nirmala Sivaprakasapillai, MD · NPI 1477729408
Gastroenterology physician in Tarpon Springs, Florida. Individual provider, active in the CMS NPPES registry since April 30, 2008.
## Identity
- **NPI:** 1477729408 (Entity type: Individual)
- **Enumerated:** April 30, 2008
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** ME104261 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 S PINELLAS AVE STE G, Tarpon Springs, FL 34689-1950
- **Phone:** (727) 943-3405 · **Fax:** (727) 937-2269
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Florida Hospital Physician Group Inc (NPI 1174955256, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 11, 2024
- **Other identifiers:** Other 0460101 (FL); Other P01491267 (FL); Medicaid 015064700 (FL); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1477729408) · Data from the CMS NPPES public registry.