Doctor profile · Federal record
Dr. SRAVANTHI ENNALA, M.D.
Pulmonary Disease Physician (CMS: PULMONARY DISEASE) · ORANGE CITY, FL
- NPI 1679852883
- Accepts Medicare
- 19 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1075 TOWN CENTER DR
ORANGE CITY, FL 327638360
(386) 917-0333
fax (386) 917-0335 - Additional location
-
749 Stirling Center Pl
Lake Mary, FL 327464856
(407) 321-8230
fax (407) 321-0388 - Additional location
-
8400 Red Bug Lake Rd Ste 2010
Oviedo, FL 327656838
(407) 967-9794
fax (407) 321-0388 - Mailing address
-
9500 EUCLID AVE
CLEVELAND, OH 441950001
Credentials & registration
- NPI registered
- August 2011 — 15 yrs on file
- Profile last updated
- August 28, 2025
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Florida #ME174216
- Medicaid
- FL #127397200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1679852883. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$153
Transactions
4
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Olympus Corporation of the Americas | 4 | $153.26 |