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SUNSTATE MEDICAL CLINIC
NPI 1831436005
Internal Medicine in Lutz, FL

Active since January 08, 2013
21762 STATE ROAD 54, LUTZ, FL 33549(727) 403-4573 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sunstate Medical Clinic NPPES

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

SUNSTATE MEDICAL CLINIC (NPI 1831436005) is a healthcare organization registered as an internal medicine in Lutz, Florida and active in the NPI registry since January 2013. The organization lists Mahesh Bhambore, President, as its authorized official.

NPPES Registry Identity

NPI1831436005
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAHESH BHAMBORE MD PA
Location Address21762 STATE ROAD 54Lutz, FL 33549-6921
Mailing Address20016 Ryman PlTampa, FL 33647-3452
Phone(727) 403-4573
Organization SubpartNo
Authorized OfficialMahesh BhamborePresident · (727) 403-4573
Enumeration DateJanuary 8, 2013
Last NPPES UpdateJune 26, 2013
✔ NPI 1831436005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME100193
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
21762 STATE ROAD 54, Lutz, FL 33549
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Other Names 1

Doing Business AsSunstate Medical Clinic

Other Identifiers 2

OtherP01173486FL · Rr Mcr
Medicare PINAK244TFL

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.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)

Sunstate Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sunstate Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mahesh Bhambore, M.D.
Internal Medicine
NPI 1336183573
21762 STATE ROAD 54
Lutz, FL 33549
(813) 949-2999
✔ PECOS✔ Accepts MedicareSame address

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

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 Mahesh Bhambore MD PA's NPI number?

The NPI number for Mahesh Bhambore MD PA is 1831436005. It was assigned to this organization in the NPPES registry on January 8, 2013. The provider is doing business as Sunstate Medical Clinic.

Where is Mahesh Bhambore MD PA located?

Mahesh Bhambore MD PA is located at 21762 State Road 54, Lutz, FL 33549. The listed phone number is (727) 403-4573.

What is Mahesh Bhambore MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mahesh Bhambore MD PA enrolled in Medicare?

Yes. Mahesh Bhambore MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mahesh Bhambore MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mahesh Bhambore MD PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mahesh Bhambore MD PA accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Mahesh Bhambore MD PA 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 Mahesh Bhambore MD PA was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.