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

Sushruth Edla, MD

Individual provider Internal Medicine Physician · NPI 1821343179

Sushruth Edla, MD is a Cardiovascular Disease (Cardiology) in Lady Lake, Florida. Qualified in 2007, 19 years ago. Practices with Mercy Clinic Heart and Vascular LLC, a 111-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Missouri and Ohio.

Years since qualifying
19
Licensed in
FL, MO, OH
In the registry since
2012
Specialties on file
5
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

8575 NE 138th Ln Ste 203
Lady Lake, FL 32159-8996
Phone: (352) 674-2080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1390 Us Highway 61 Ste N1500, Festus, MO 63028-4137 — (636) 933-5055
  • 2351 E 22nd St, Cleveland, OH 44115-3111 — (216) 363-2725

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence ME177940 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 57.020812 (OH)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 2019014001 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 57.020812 (OH)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 2019014001 (MO)

Record details

NPI number1821343179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2012
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address8575 Ne 138th Ln Ste 203, Lady Lake, FL 32159-8996

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mercy Clinic Heart And Vascular Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lady Lake