Siva K. Bhashyam, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD428217 Issued in PA

Practice address

201 Magnolia Ave SW
Winter Haven, FL 33880-2943

Phone

(863) 269-0210

Fax

(863) 824-7097

NPI assigned

Mar 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bartow Regional Medical Center Hospital, Bartow, FL, CCN 100121
• Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
• Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
• Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
• Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEEJCA/Endpoint/JEEJCA
• FHIR API: https://fhir4.healow.com/fhir/r4/JEEJCA

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.

• Mid Florida Cardiovascular Center, LLC

  • Cardiovascular Disease Physician
  • Winter Haven, FL
  • NPI 1215339817
  Medicare reassignment NPD Authorized official
• Cardiovascular Institute of Central Florida, LLC

  • Specialist
  • Ocala, FL
  • NPI 1679666598
  NPD (past)
• Central Florida Cardiology & Vascular Center LLC

  • Cardiovascular Disease Physician
  • Tavares, FL
  • NPI 1225332075
  NPD (past)

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

• Adventhealth Polk North Inc

  • General Acute Care Hospital
  • Davenport, FL
  • NPI 1801457510
  Care Compare affiliation
• Adventhealth Polk South Inc

  • General Acute Care Hospital
  • Lake Wales, FL
  • NPI 1053972760
  Care Compare affiliation
• Bartow Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Bartow, FL
  • NPI 1558734095
  Care Compare affiliation
• Lakeland Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  Care Compare affiliation
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  Care Compare affiliation

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1043480361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAGNOLIA AVE SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802943",
            "telephone_number": "863-269-0210",
            "fax_number": "863-824-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAGNOLIA AVE SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802943",
            "telephone_number": "863-269-0210",
            "fax_number": "863-824-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASHYAM",
        "first_name": "SIVA",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD428217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca Berning
• Matthew William Berrios, D.O.
• Kimberley Berry
• Best Care Senior Living at Cypress Gardens LLC
• Beyond Wellness Healthcare LLC
• Karan K Bhatia, M.D.
• Anissa Bhojnauth
• Inder K Bhutiani, M.D.
• Joan Bickford, OTR/L
• Toisalon Teria Bing, COTA

• Cardiovascular Disease Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.