SANJANA THOTA-KAMMILI (MBBS) – Endocrinology, Diabetes & Metabolism Physician, NPI 1528682259
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
605 ENDOCRINOLOGY in FL
Provider Addresses for SANJANA THOTA-KAMMILI (MBBS)
4500 San Pablo Rd S
Jacksonville, FL 322241865
Phone: (904) 953-2000
Type: Location
240 Hospital Rd
Whitesburg, KY 418587627
Phone: (606) 633-3500
Type: Location
100 BRIDGE ST
WHITESBURG, KY 418587329
Phone: (203) 360-4884
Type: Mailing
240 HOSPITAL RD
WHITESBURG, KY 418587627
Phone: (606) 633-3500
Type: Location
770 W GRANADA BLVD STE 101
ORMOND BEACH, FL 321745179
Phone:
Type: Mailing
120 PINNACLES DR STE 1
PALM COAST, FL 321642322
Phone: (386) 231-6549
Fax: (386) 231-6550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230516002597 | I | Endocrinology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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