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MR. JOEL SUKUMAR SANDRUGU M.B.B.S
NPI 1790533487
Student in an Organized Health Care Education/Training Program in Fort Walton Beach, FL

Active since May 08, 2024PECOS Enrolled
1000 MAR WALT DR. FORT WALTON BEACH, HCA FLORIDA FORT WALTON-DESTIN HOSPITAL, FORT WALTON BEACH, FL 32547(850) 969-4500 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 26, 2024, May 8, 2024 (2 updates tracked since 2024).

About Mr. Joel Sukumar Sandrugu M.b.b.s NPPES

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

MR. JOEL SUKUMAR SANDRUGU M.B.B.S (NPI 1790533487) is an individual student in an organized health care education/training program in Fort Walton Beach, Florida and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790533487
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JOEL SUKUMAR SANDRUGUCredential: M.B.B.S
Location Address1000 MAR WALT DR. FORT WALTON BEACH, HCA FLORIDA FORT WALTON-DESTIN HOSPITALFort Walton Beach, FL 32547
Mailing Address1000 Mar Walt Dr. Fort Walton Beach, Hca Florida Fort Walton-destin HospitalFort Walton Beach, FL 32547 · (850) 969-4500
Phone(850) 969-4500
Sole ProprietorNo
Enumeration DateMay 8, 2024
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
✔ NPI 1790533487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 MAR WALT DR. FORT WALTON BEACH, Fort Walton Beach, FL 32547
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Joel Sukumar Sandrugu M.b.b.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Joel Sandrugu's NPI number?

The NPI number for Joel Sandrugu is 1790533487. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Joel Sandrugu located?

Joel Sandrugu practices at 1000 Mar Walt Dr. Fort Walton Beach Hca Florida Fort Walton-Destin Hospital, Fort Walton Beach, FL 32547. The listed phone number is (850) 969-4500.

What is Joel Sandrugu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joel Sandrugu enrolled in Medicare?

Yes. Joel Sandrugu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joel Sandrugu was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.