Four Corners Internal Medicine, LLC
NPI 1346295466 · Clinic/Center · Davenport, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Four Corners Internal Medicine, LLC is a Clinic/Center organization in Davenport, FL (NPI 1346295466).
Provider details
- NPI number
- 1346295466
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Srinath Kosanam, Owner(863) 424-8900
- License
- ME78339 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2010-10-20
Frequently asked questions
- What is Four Corners Internal Medicine, LLC's NPI number?
- Four Corners Internal Medicine, LLC's National Provider Identifier (NPI) is 1346295466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four Corners Internal Medicine, LLC?
- Four Corners Internal Medicine, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Four Corners Internal Medicine, LLC located?
- Four Corners Internal Medicine, LLC's practice location on file with NPPES is 106 Polo Park East Blvd, Davenport, FL 33897-9407.
- What is Four Corners Internal Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Four Corners Internal Medicine, LLC is (863) 424-8900.
- Does Four Corners Internal Medicine, LLC accept Medicare?
- Four Corners Internal Medicine, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Four Corners Internal Medicine, LLC?
- The authorized official listed on Four Corners Internal Medicine, LLC's NPPES record is Srinath Kosanam, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four Corners Internal Medicine, LLC's NPI active?
- Yes — Four Corners Internal Medicine, LLC's NPI (1346295466) is active in the NPPES registry as of the last update on 2010-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.