Individual provider Active NPI

Sidney Peykar, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Port Charlotte, FL
National Provider Identifier
1174748396
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME92434 Issued in FL
Practice address
21300 Gertrude Ave
Suite 3
Port Charlotte, FL 33952-5002
Phone
(800) 771-7164
Fax
(800) 773-7581
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003-0134 NM
Cardiovascular Disease Physician 207RC0000X ME92434 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X ME92434 FL Primary

Addresses

Primary practice location

21300 Gertrude Ave
Suite 3
Port Charlotte, FL 33952-5002

Mailing address

PO Box 510363
Punta Gorda, FL 33951-0363
Phone (800) 771-7164

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
I20071018000405 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 8628164852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiac Arrhythmia Institute PAGroup PAC ID 5799836177, 4 clinicians

Practice addresses (Care Compare)

2484 Caring Way
Unit B
Port Charlotte, FL 33952-5306
Phone (800) 771-7164

Hospital & facility affiliations

  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score
91.81 of 100Reported as individual
Quality
76.18
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-0134NMMDInternal Medicine Physician
ME92434FLMDClinical Cardiac Electrophysiology Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Suncoast Medical Associates Charlotte PA Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Cardiac Arrhythmia Institute PA Cardiovascular Disease CurrentSince Jun 1, 2009 Accepting new patients
Milagro Medical Group PC Past Accepting new patients
Charlotte Cardiovacular Institute, PA Cardiovascular Disease Past Accepting new patients

Locations

6376 Pine Ridge Rd
Naples, FL 34119
Phone (239) 263-0849

5659 Naples Blvd
Naples, FL 34109
Phone (239) 213-1500

6376 Pine Ridge Rd
Unit 200
Naples, FL 34119
Phone (615) 465-7211

3052 Harbor Blvd
Ste 2
Port Charlotte, FL 33952
Phone (941) 744-2640

2484 Caring Way
Unit B
Pt Charlotte, FL 33952
Phone (800) 771-7164

21300 Gertrude Ave
Ste 3
Pt Charlotte, FL 33952
Phone (800) 771-7164

1540 S Tamiami Trl
Ste 305
Sarasota, FL 34239
Phone (800) 771-7164

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: sidneypeykar@cai.ssdirect.aprima.com

Organizations & group practices 4

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.

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": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1174748396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510363",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510363",
            "telephone_number": "800-771-7164",
            "fax_number": "800-773-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 GERTRUDE AVE",
            "address_2": "SUITE 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525002",
            "telephone_number": "800-771-7164",
            "fax_number": "800-773-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYKAR",
        "first_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2003-0134",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME92434",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME92434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.