Individual provider Active NPI

Sukhender R Singireddy, M.D.

  • Diagnostic Radiology Physician
  • Port Orange, FL
National Provider Identifier
1013973882
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0081395 Issued in FL
Practice address
1728 Dunlawton Ave
Ste 5
Port Orange, FL 32127-2922
Phone
(386) 304-3404
Fax
(386) 304-3135
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME0081395 FL Primary

Addresses

Primary practice location

1728 Dunlawton Ave
Ste 5
Port Orange, FL 32127-2922

Mailing address

880 Riverside Dr
Ormond Beach, FL 32176-7851
Phone (386) 677-6928

Other identifiers 2

IdentifierTypeStateIssuer
P00387686OtherRR MEDICARE
260108700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070428000036 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional RadiologyPractitioner - Peripheral Vascular Disease 9032015359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology, Peripheral Vascular Disease
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1728 Dunlawton Ave
Suite 5
Port Orange, FL 32127-2923
Phone (386) 304-3404

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0081395FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arjun D. Aneja, M.D., LLC CurrentSince Sep 1, 2022 Accepting new patients
Volusia Obl BZ, LLC Current Accepting new patients
Suncoast Vein & Vascular Clinic PLC CurrentSince Aug 9, 2010 Accepting new patients
Ormond Radiology Partnership, L.L.C Diagnostic Radiology Past Accepting new patients
Ormond Radiology Partnership, L.L.C. Diagnostic Radiology Past Accepting new patients
Suncoast Radiology, P.a. Diagnostic Radiology Past Accepting new patients
Innovative Imaging Associates, PA Diagnostic Radiology Past Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients
Volusia ASC BZ, LLC PastSince Oct 25, 2021 Accepting new patients

Locations

1615 Dr Martin Luther King Blvd
Deltona, FL 32725
Phone (386) 204-3911

325 Clyde Morris Blvd
Ste 300
Ormond Beach, FL 32174
Phone (386) 304-3404

385 Palm Coast Pkwy SW
Unit 2
Palm Coast, FL 32137
Phone (386) 271-2050

1728 Dunlawton Ave
Ste 5
Port Orange, FL 32127
Phone (386) 304-3404

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1013973882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 RIVERSIDE DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321767851",
            "telephone_number": "386-677-6928",
            "fax_number": "386-304-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 DUNLAWTON AVE",
            "address_2": "STE 5",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272922",
            "telephone_number": "386-304-3404",
            "fax_number": "386-304-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGIREDDY",
        "first_name": "SUKHENDER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0081395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00387686",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260108700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.