NPIMap

Individual provider Active NPI

Siva Prasad Sontineni, M.D.

  • Interventional Cardiology Physician
  • Denton, TX
National Provider Identifier
1114142403
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
P4112 Issued in TX
Practice address
2701 Shoreline Dr Ste 101
Denton, TX 76210-0175
Phone
(469) 645-1155
Fax
(469) 645-1210
NPI assigned
Apr 13, 2007
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X P4112 TX Primary
Internal Medicine Physician 207R00000X P4112 TX
Cardiovascular Disease Physician 207RC0000X P4112 TX

Addresses

Primary practice location

2701 Shoreline Dr Ste 101
Denton, TX 76210-0175

Mailing address

PO Box 293297
Lewisville, TX 75029-3297
Phone (469) 645-1155

Other practice location 1

118 Lynn Ave Ste 100
Lewisville, TX 75057-3706
Phone (469) 645-1155

Other identifiers 2

IdentifierTypeStateIssuer
3514952MedicaidTX
P01542377OtherTXMEDICARE RAIL ROAD PTAN

Other names 1

  • Dr. Siva Prasad S. Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140108000657 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1456528462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2701 Shoreline Dr
Suite 101
Denton, TX 76210-0175
Phone (469) 645-1155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting56
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Siva P Sontineni,MD,PA. Internal Medicine CurrentSince Aug 4, 2015 Accepting new patients
Cardiac Imaging Inc CurrentSince Feb 21, 2017 Accepting new patients
Hospitalist Medicine Physicians of Iowa, PLC Internal Medicine Past Accepting new patients

Locations

2701 Shoreline Dr
Ste 101
Denton, TX 76210
Phone (469) 645-1155

3304 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (940) 565-1510

802 N Bonnie Brae St
Ste 104
Denton, TX 76201
Phone (469) 645-1155

118 Lynn Ave
Lewisville, TX 75057
Phone (469) 645-1155

118 Lynn Ave
Ste 100
Lewisville, TX 75057
Phone (214) 396-8877

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest Jan 3, 2024
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Jan 3, 2024
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1114142403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293297",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750293297",
            "telephone_number": "469-645-1155",
            "fax_number": "866-282-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SHORELINE DR STE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100175",
            "telephone_number": "469-645-1155",
            "fax_number": "469-645-1210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Lynn Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573706",
            "country_code": "US",
            "telephone_number": "469-645-1155",
            "fax_number": "469-645-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONTINENI",
        "first_name": "SIVA",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P4112",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4112",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P4112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3514952",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD PTAN",
            "identifier": "P01542377",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIVA",
            "last_name": "S.",
            "middle_name": "PRASAD",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.