Active NPI
Varshini Sridhar, M.D.
- Student in an Organized Health Care Education/Training Program
- Port St Lucie, FL
National Provider Identifier
1174408074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1800 SE Tiffany Avenue
Port St. Lucie, FL 34952 - Phone
- (772) 468-4554
- NPI assigned
- Aug 8, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | FL | Primary |
Addresses
Primary practice location
1800 SE Tiffany Avenue
Port St. Lucie, FL 34952
Mailing address
9925 S US. Hwy 1, Apt. 208
Port St. Lucie, FL 34952
Phone (773) 410-8173
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260526000925 | FL | Order and Referring Only - Family Practice | 7416427067 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- varshini.sridhar@hca4.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1174408074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9925 S US. HWY 1, APT. 208",
"city": "PORT ST. LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "773-410-8173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SE TIFFANY AVENUE",
"city": "PORT ST. LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-468-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIDHAR",
"first_name": "VARSHINI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-08",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
- Springfield Gardens Assisted Living
- Springfield Gardens Assisted Living
- Springfield Gardens Group Home
- Rachel S Squier, D.M.D.
- Liza Squitieri, RD/LDN
- St Aubyn Senior Services Inc (Circle of Care (The))
- Majella St Brice, REGISTERED NURSE
- Edouard St Hilaire
- Ericka St Louis
- St Lucie Counseling and Clinical Hypnosis, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.