DR. SRAVANTHI ENNALA (M.D.) – Pulmonary Disease Physician, NPI 1679852883

DR. SRAVANTHI ENNALA (M.D.) is a healthcare provider. based in Lake mary, Florida. specializing in PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME174216 (FL). The NPI Number for DR. SRAVANTHI ENNALA (M.D.) is 1679852883

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. SRAVANTHI ENNALA (M.D.)
NPI
1679852883
Phone
(407) 321-8230
Address
749 Stirling Center Pl
Enumeration Date
5 August 2011
Last Update Date
28 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3869170333
Graduation Year
2007 (19 years ago)
PAC ID
2668615782
Group Practice PAC ID
3779474333
Professional Enrollment ID
I20250627002132
Address ID
FL327638360OR1075XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:14State licenses:1Digital endpointsOther names

1,173 PULMONARY DISEASE in FL

Provider Addresses for DR. SRAVANTHI ENNALA (M.D.)

  • 749 Stirling Center Pl

    Lake Mary, FL 327464856

    Phone: (407) 321-8230

    Fax: (407) 321-0388

    Type: Location

  • 8400 Red Bug Lake Rd Ste 2010

    Oviedo, FL 327656838

    Phone: (407) 967-9794

    Fax: (407) 321-0388

    Type: Location

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone: (216) 445-0346

    Type: Mailing

  • 1075 TOWN CENTER DR

    ORANGE CITY, FL 327638360

    Phone: (386) 917-0333

    Fax: (386) 917-0335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,167.

Total Amount is formed as General ($1,167) + Research ($0) + Ownership ($0) = $1,167.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Olympus Corporation of the Americas ($1,055).

Total Amount

$1,167

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170609001447IInternal MedicineOHTBD
I20250627002132IPulmonary DiseaseFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 32746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779474333View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerMI
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineAL
Internal Medicine, Pulmonary DiseaseFL
Pulmonary Disease, Critical Care (Intensivists)AL
Nurse PractitionerFL
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SRAVANTHI ENNALA (M.D.)?
NPI 1679852883 is assigned to DR. SRAVANTHI ENNALA (M.D.) under the national enumeration system.
Is DR. SRAVANTHI ENNALA (M.D.) currently active in the NPI registry?
CMS-published data lists DR. SRAVANTHI ENNALA (M.D.) as an active registrant.
What kind of provider is DR. SRAVANTHI ENNALA (M.D.)?
The page reflects Pulmonary Disease Physician for DR. SRAVANTHI ENNALA (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SRAVANTHI ENNALA (M.D.)?
The page summarizes Lake Mary, Florida for DR. SRAVANTHI ENNALA (M.D.); expand the address list for detail.
What if Lake Mary, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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