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Anastasia Medical Group, LLC

Internal Medicine Physician in St Augustine, FL · enumerated 2006 · authorized official Suhas Neerukonda, Managing Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710940648

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Registry record

Entity type Organization (Type 2)
Legal business name Anastasia Medical Group, LLC
Practice address 1301 Plantation Island Drive, Suite 203a, St Augustine, FL, 32080
Phone (904) 461-0821
Fax (904) 461-0823
Enumeration date Apr 11, 2006
Last updated in NPPES Jan 15, 2024

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

Authorized official

Name Suhas Neerukonda
Title Managing Partner
Phone (904) 461-0343

Other identifiers

Identifier Type State Issuer
99767 Other FL BCBS
277020200 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Anastasia Medical Group, LLC?
The NPI for Anastasia Medical Group, LLC is 1710940648, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Anastasia Medical Group, LLC?
NPPES lists Suhas Neerukonda (Managing Partner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-15.