NPIMap

Individual provider Active NPI

Sachin Vijay Diwadkar, MD

  • Interventional Cardiology Physician
  • Tampa, FL
National Provider Identifier
1073838108
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME115392 Issued in FL
Practice address
602 S Audubon Ave Ste a
Tampa, FL 33609-4217
Phone
(813) 540-4322
Fax
(813) 540-7262
NPI assigned
Mar 31, 2010
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME115392 FL Primary

Addresses

Primary practice location

602 S Audubon Ave Ste a
Tampa, FL 33609-4217

Mailing address

602 S Audubon Ave Ste a
Tampa, FL 33609-4217
Phone (813) 540-4322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170619002251 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6305154824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of South Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 S Audubon Ave
Suite a
Tampa, FL 33609-4217
Phone (813) 540-4322

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115392FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Mar 5, 2021 Accepting new patients
Ascent Cardiovascular Center LLC Interventional Cardiology CurrentSince Dec 24, 2020 Accepting new patients
KND Development 59, LLC CurrentSince Mar 5, 2021 Accepting new patients

Locations

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

602 S Audubon Ave
Ste B
Tampa, FL 33609
Phone (813) 348-4885

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: sachin.diwadkar.1@31687.direct.athenahealth.com
  • Direct secure messaging: sdiwadkar129071@direct.tgh.org

Organizations & group practices 6

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

Hospital & facility affiliations 8

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1073838108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S AUDUBON AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094217",
            "telephone_number": "813-540-4322",
            "fax_number": "813-540-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S AUDUBON AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094217",
            "telephone_number": "813-540-4322",
            "fax_number": "813-540-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIWADKAR",
        "first_name": "SACHIN",
        "middle_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME115392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.