Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kopila Sangroula Pandey, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1295537934

Kopila Sangroula Pandey, AGACNP-BC is a Nurse Practitioner in Orlando, Florida. Qualified in 2022, 4 years ago. Practices with The Ear Nose and Throat Surgical Associates PA, a 50-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
4
Licensed in
FL, VA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

12315 Lake Underhill Rd Ste A
Orlando, FL 32828-4507
Phone: (407) 636-2437
Fax: (407) 380-7043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7350 Sandlake Commons Blvd Ste 1100, Orlando, FL 32819-8031 — (407) 636-2437
  • 11601 S Orange Blossom Trl Ste 108, Orlando, FL 32837-9437 — (571) 837-1273

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence ARNP11040021 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 0001261399 (VA)

Record details

NPI number1295537934
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMarch 25, 2025
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Ear Nose And Throat Surgical Associates Pa — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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