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FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC
NPI 1790123271
Internal Medicine - Endocrinology, Diabetes & Metabolism in St Petersburg, FL

Active since June 06, 2013CLIA 10D2030946 · Waiver
2763 1ST AVE N, ST PETERSBURG, FL 33713(727) 623-9913(727) 803-4852 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2025, Feb 16, 2016 (2 updates tracked since 2016).

About Florida Endocrinology & Diabetes Center Llc NPPES

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

FLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC (NPI 1790123271) is a healthcare organization registered as an endocrinology, diabetes & metabolism in St Petersburg, Florida and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through October 6, 2027, maintains a secondary practice location in St Petersburg, and lists Venkata G Budharaju, Owner, as its authorized official.

NPPES Registry Identity

NPI1790123271
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameFLORIDA ENDOCRINOLOGY & DIABETES CENTER LLC
Location Address2763 1ST AVE NSt Petersburg, FL 33713-8723
Mailing AddressPo Box 40725St Petersburg, FL 33743-0725 · (727) 269-5618 · Fax (727) 265-3420
Phone(727) 623-9913
Fax(727) 803-4852
Organization SubpartNo
Authorized OfficialVenkata G BudharajuOwner · (727) 623-9913
Enumeration DateJune 6, 2013
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1790123271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME108425
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2763 1ST AVE N, St Petersburg, FL 33713
Open in Google Maps ↗

Secondary Practice Location 1

Location 15775 5th Ave NSt Petersburg, FL 33710-7103 · Phone (727) 269-5618

Other Identifiers 1

Medicaid008900700FL

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, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida Endocrinology & Diabetes Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Florida Endocrinology & Diabetes Center LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ajay Varanasi, MD
Endocrinology
NPI 1104982420
5775 5TH AVE N
St Petersburg, FL 33710
(727) 345-5222
✔ PECOS✔ Accepts Medicare2.5 mi
Samantha Sugarman, ARNP
Nurse Practitioner
NPI 1700334612
6229 66TH ST N
Pinellas Park, FL 33781
(727) 623-9913
✔ PECOS✔ Accepts Medicare5.2 mi
Venkata Budharaju, MD
Endocrinology
NPI 1427114735
6229 66TH ST N
Pinellas Park, FL 33781
(727) 623-9913
✔ PECOS✔ Accepts Medicare5.2 mi
Eilyn Bustamante
Endocrinology
NPI 1265092456
6229 66TH ST N
Pinellas Park, FL 33781
(727) 623-9913
✔ PECOS✔ Accepts Medicare5.2 mi

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

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 10D2030946

Florida Endocrinology And Diabetes Center · Pinellas Park, FL
Active · expires Oct 6, 2027
CLIA Number10D2030946
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorVenkat Budharaju
Laboratory Phone(727) 623-9913
Laboratory LocationFlorida Endocrinology And Diabetes Center6229 66th St, N, Pinellas Park, FL 33781
CLIA data matches this NPI record on: 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 Florida Endocrinology & Diabetes Center LLC's NPI number?

The NPI number for Florida Endocrinology & Diabetes Center LLC is 1790123271. It was assigned to this organization in the NPPES registry on June 6, 2013.

Where is Florida Endocrinology & Diabetes Center LLC located?

Florida Endocrinology & Diabetes Center LLC is located at 2763 1st Ave N, St Petersburg, FL 33713. The listed phone number is (727) 623-9913.

What is Florida Endocrinology & Diabetes Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Florida Endocrinology & Diabetes Center LLC enrolled in Medicare?

Yes. Florida Endocrinology & Diabetes Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Endocrinology & Diabetes Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Florida Endocrinology & Diabetes Center LLC. A 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 the clinician's services. The largest specialties are Endocrinology (3) and Nurse Practitioner (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Florida Endocrinology & Diabetes Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2030946) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Endocrinology & Diabetes Center LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Florida Endocrinology & Diabetes Center LLC 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 Florida Endocrinology & Diabetes Center LLC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.