Active NPI
Dinesh Keran Sivakolundu, M.B.B.S., PH.D.
- Neurology Physician
- Clearwater, FL
National Provider Identifier
1174142376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME175742
- Practice address
- 3190 N McMullen Booth Rd Ste 200
Clearwater, FL 33761-2013 - Phone
- (813) 855-2990
- Fax
- (813) 855-2990
- NPI assigned
- Apr 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME175742 | FL | Primary |
Addresses
Primary practice location
3190 N McMullen Booth Rd Ste 200
Clearwater, FL 33761-2013
Mailing address
3190 N McMullen Booth Rd Ste 200
Clearwater, FL 33761-2013
Phone (813) 855-2990
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dinesh.sivakolundu.1@32973.direct.athenahealth.com | Direct | MS & Neuromuscular Center of Excellence LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3190 N McMullen Booth Rd
Suite 200
Clearwater, FL 33761-2013
Phone (813) 855-2900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME175742 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Ms & Neuromuscular Center of Excellence LLC | Neurology | Current | Accepting new patients |
| Sanford Bismarck | Current | Accepting new patients |
Locations
3190 N McMullen Booth Rd
Ste 200
Clearwater, FL 33761
Phone (727) 447-7786
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- dinesh.sivakolundu.1@32973.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Neurology Physician
- Clearwater, FL
- NPI 1821480419
-
dba Sanford East Dickinson Clinic
- Multi-Specialty Clinic/Center
- Dickinson, ND
- NPI 1720075377
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
dba AdventHealth North Pinellas
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
-
dba Mease Dunedin Hospital
- General Acute Care Hospital
- Dunedin, FL
- NPI 1336125640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1174142376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 N MCMULLEN BOOTH RD STE 200",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612013",
"telephone_number": "813-855-2990",
"fax_number": "813-855-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 N MCMULLEN BOOTH RD STE 200",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612013",
"telephone_number": "813-855-2990",
"fax_number": "813-855-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVAKOLUNDU",
"first_name": "DINESH",
"middle_name": "KERAN",
"name_prefix": "Dr.",
"credential": "M.B.B.S., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-09",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME175742",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dinesh.sivakolundu.1@32973.direct.athenahealth.com",
"affiliation": "Y",
"endpointDescription": "Athena Direct Address",
"affiliationName": "MS & Neuromuscular Center of Excellence LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3190 N McMullen Booth Rd Ste 200",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337612013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.