Individual provider Active NPI

Giridhar S Talluri, MD

  • Urology Physician
  • Aventura, FL
National Provider Identifier
1023010808
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME85266 Issued in FL
Practice address
21110 Biscayne Blvd Ste 403
Aventura, FL 33180-1252
Phone
(305) 918-0742
Fax
(305) 918-0787
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME85266 FL Primary

Addresses

Primary practice location

21110 Biscayne Blvd Ste 403
Aventura, FL 33180-1252

Mailing address

21110 Biscayne Blvd Ste 403
Aventura, FL 33180-1252
Phone (305) 918-0742

Other practice location 1

3700 Washington St Ste 302
Hollywood, FL 33021-8249
Phone (954) 987-5600

Other identifiers 9

IdentifierTypeStateIssuer
34506OtherFLBCBS
43118OtherFLNHP
7746438OtherFLAETNA
H65077OtherFLVISTA
007325500MedicaidFL
288172OtherFLAVMED
190236OtherFLAMERIGROUP
3980742OtherFLCIGNA
P00301349OtherFLRAILROAD MEDICARE

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
I20040916001274 FL Practitioner - Urology 9335112937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Healthcare Associates, P.L.Group PAC ID 3577571371, 4 clinicians

Practice addresses (Care Compare)

3700 Washington St
Suite 302
Hollywood, FL 33021-8249
Phone (954) 987-5600

9165 Park Dr
Miami Shores, FL 33138-3163
Phone (305) 545-6685

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.97
Improvement activities
40
Cost
91.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85266FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Healthcare Associates, P.L. Urology CurrentSince Oct 1, 2012 Accepting new patients

Locations

3700 Washington St
Ste 302
Hollywood, FL 33021
Phone (954) 963-2930

21110 Biscayne Blvd
Ste 106
Miami, FL 33180
Phone (305) 534-4747

21110 Biscayne Blvd
Ste 403
Miami, FL 33180
Phone (305) 851-6005

9165 Park Dr
Miami Shores, FL 33138
Phone (305) 545-6685

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1023010808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD STE 403",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801252",
            "telephone_number": "305-918-0742",
            "fax_number": "305-918-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD STE 403",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801252",
            "telephone_number": "305-918-0742",
            "fax_number": "305-918-0787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Washington St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218249",
            "country_code": "US",
            "telephone_number": "954-987-5600",
            "fax_number": "954-967-9886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLURI",
        "first_name": "GIRIDHAR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME85266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34506",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "43118",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7746438",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "H65077",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007325500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "288172",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "190236",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3980742",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00301349",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.