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SUDARSAN KAMISETTY, M.D.,P.A
NPI 1629099163
Specialist in Brandon, FL

Active since July 21, 2006CLIA 10D0962966 · Waiver
681 W. LUMSDEN RD, BRANDON, FL 33511(813) 655-7726(813) 655-5617 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sudarsan Kamisetty, M.d.,p.a NPPES

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

SUDARSAN KAMISETTY, M.D.,P.A (NPI 1629099163) is a healthcare organization registered as a specialist in Brandon, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Sudarsan R Kamisetty, Physician, as its authorized official.

NPPES Registry Identity

NPI1629099163
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSUDARSAN KAMISETTY, M.D.,P.A
Location Address681 W. LUMSDEN RDBrandon, FL 33511-5911
Mailing Address681 W. Lumsden RdBrandon, FL 33511 · (813) 655-7726 · Fax (813) 655-5617
Phone(813) 655-7726
Fax(813) 655-5617
Organization SubpartNo
Authorized OfficialSudarsan R KamisettyPhysician · (813) 655-7726
Enumeration DateJuly 21, 2006
Last NPPES UpdateJune 27, 2008
✔ NPI 1629099163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME70832
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
681 W. LUMSDEN RD, Brandon, FL 33511
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare.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 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 Sudarsan Kamisetty, M.D.,p.A's NPI number?

The NPI number for Sudarsan Kamisetty, M.D.,p.A is 1629099163. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Sudarsan Kamisetty, M.D.,p.A located?

Sudarsan Kamisetty, M.D.,p.A is located at 681 W. Lumsden Rd, Brandon, FL 33511. The listed phone number is (813) 655-7726.

What is Sudarsan Kamisetty, M.D.,p.A's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Sudarsan Kamisetty, M.D.,p.A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0962966) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sudarsan Kamisetty, M.D.,p.A accept?

Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Sudarsan Kamisetty, M.D.,p.A 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 Sudarsan Kamisetty, M.D.,p.A was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.