Anastasia Medical Group, LLC
NPI 1710940648 · Internal Medicine Physician · St Augustine, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anastasia Medical Group, LLC is a Internal Medicine Physician organization in St Augustine, FL (NPI 1710940648).
Provider details
- NPI number
- 1710940648
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Suhas Neerukonda, Managing Partner(904) 461-0343
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
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
- 2006-04-11
- Last updated
- 2024-01-15
- Certified
- 2024-01-15
Frequently asked questions
- What is Anastasia Medical Group, LLC's NPI number?
- Anastasia Medical Group, LLC's National Provider Identifier (NPI) is 1710940648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anastasia Medical Group, LLC?
- Anastasia Medical Group, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Anastasia Medical Group, LLC located?
- Anastasia Medical Group, LLC's practice location on file with NPPES is 1301 Plantation Island Drive, St Augustine, FL 32080.
- What is Anastasia Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Anastasia Medical Group, LLC is (904) 461-0821.
- Does Anastasia Medical Group, LLC accept Medicare?
- Anastasia Medical Group, 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 Anastasia Medical Group, LLC?
- The authorized official listed on Anastasia Medical Group, LLC's NPPES record is Suhas Neerukonda, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anastasia Medical Group, LLC's NPI active?
- Yes — Anastasia Medical Group, LLC's NPI (1710940648) is active in the NPPES registry as of the last update on 2024-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.