Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nandheesha Hanumanthappa, MD

Individual provider Nephrology Physician · NPI 1609195833

Dr. Nandheesha Hanumanthappa, MD is a Nephrology in Port Charlotte, Florida. Graduated from Tufts University School of Medicine in 2011, 15 years ago. Practices with Florida Kidney Physicians LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Trained at
Tufts University School of Medicine
Licensed in
FL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3221 Tamiami Trl
Port Charlotte, FL 33952-8002
Phone: (941) 505-8720
Fax: (941) 505-8747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence ME116075 (FL)

Record details

NPI number1609195833
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2010
Last updated in NPPESSeptember 5, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Florida Kidney Physicians Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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