DR. PAUL DAVID SOVRAN MD NPI 1093710097

NPI Information

  • NPI: 1093710097
  • Provider Name: DR. PAUL DAVID SOVRAN, MD
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 10D0694346
  • Address: 211 EAST RUBY AVE
    KISSIMME, FL
    ZIP 34741
  • Phone: (407) 847-3333

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NPI Details

DR. Paul David Sovran, MD is a geriatric medicine internal medicine in Kissimme, FL with 46 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Paul David Sovran, MD NPI is 1093710097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1980

The provider's business location address is:

211 EAST RUBY AVE
KISSIMME, FL
ZIP 34741-679
Phone: (407) 847-3333
Fax: (407) 847-8622

The NPI 1093710097 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D0694346 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Hemoglobin a1c level (HCPCS:83036)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Urinalysis, manual test (HCPCS:81002)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)

The enumeration date for this NPI number is 6/16/2005 and was last updated on 5/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineME039107FLORIDANo
22083A0100XPreventive MedicineAerospace MedicineME039107FLORIDANo
3207RG0300XInternal MedicineGeriatric MedicineME039107FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D55072MEDICARE UPINFLORIDA
247471YMEDICARE PINFLORIDA
347471OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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