Individual provider Active NPI

Gayatri Siram

  • Hospitalist Physician
  • Coral Gables, FL
National Provider Identifier
1083858476
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME113722 Issued in FL
Practice address
820 Douglas Road
Suite 820
Coral Gables, FL 33134
Phone
(305) 447-4150
Fax
(305) 675-8068
NPI assigned
Apr 29, 2009
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 3334618 NY
Internal Medicine Physician 207R00000X ME113722 FL
Hospitalist Physician 208M00000X ME113722 FL Primary

Addresses

Primary practice location

820 Douglas Road
Suite 820
Coral Gables, FL 33134

Mailing address

820 Douglas Road
Suite 820
Coral Gables, FL 33134
Phone (305) 447-4150

Other identifiers 1

IdentifierTypeStateIssuer
118028500MedicaidFL

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
I20121226000301 FL Practitioner - Internal Medicine 1759534787 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

9980 Central Park Blvd N
Suite 314
Boca Raton, FL 33428-1704
Phone (561) 404-1699

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3334618NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC Hospitalist CurrentSince Jan 1, 2021 Accepting new patients
Hector B Jimenez MD PA Internal Medicine Current Accepting new patients
West Palm Beach Physician Group Inc Hospitalist CurrentSince Jan 15, 2020 Accepting new patients
Lee Memorial Health System CurrentSince Jul 13, 2023 Accepting new patients
First Docs PC Internal Medicine CurrentSince Jan 9, 2025 Accepting new patients
Fort Lauderdale Physician Services, LLC Hospitalist CurrentSince Dec 11, 2019 Accepting new patients
Florida Hospital Medicine Services, LLC. Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
Elevate Wellness 369 LLC Internal Medicine Current Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Primary Care 369 LLC CurrentSince Apr 10, 2019 Accepting new patients
Jimenez Medical Center, Inc. CurrentSince Nov 26, 2024 Accepting new patients
Lee Health System Inc Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System Internal Medicine CurrentSince Jul 13, 2023 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations (25 of 31)

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

9980 Central Park Blvd N
Boca Raton, FL 33428
Phone (561) 218-4859

9980 Central Park Blvd N
Ste 314
Boca Raton, FL 33428
Phone (561) 404-1699

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

1321 NW 14th St
Ste 101
Miami, FL 33125
Phone (305) 325-0913

2701 SW 3rd Ave
Ste 101
Miami, FL 33129
Phone (305) 854-8999

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

7480 Fairway Dr
Ste 101
Miami Lakes, FL 33014
Phone (786) 409-7430

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

17013 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 450-4200

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1083858476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 DOUGLAS ROAD",
            "address_2": "SUITE 820",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-447-4150",
            "fax_number": "305-675-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DOUGLAS ROAD",
            "address_2": "SUITE 820",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-447-4150",
            "fax_number": "305-675-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAM",
        "first_name": "GAYATRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "3334618",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME113722",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME113722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118028500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.