Individual provider Active NPI

Srinivasan Sattiraju, MD

  • Cardiovascular Disease Physician
  • Fleming Island, FL
National Provider Identifier
1215900808
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME131129 Issued in FL
Practice address
2310 Village Square Pkwy Ste 204
Fleming Island, FL 32003-6409
Phone
(904) 224-5185
Fax
(904) 376-3202
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME131129 FL Primary

Addresses

Primary practice location

2310 Village Square Pkwy Ste 204
Fleming Island, FL 32003-6409

Mailing address

PO Box 746652
Atlanta, GA 30374-6652
Phone (904) 720-0599

Other identifiers 2

IdentifierTypeStateIssuer
298041000MedicaidMN
02022100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170418002479 FL Practitioner - Cardiovascular Disease (Cardiology) 0749210052 Reassigns benefits to 2 organizations
I20170501001293 GA Practitioner - Cardiovascular Disease (Cardiology) 0749210052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians

Practice addresses (Care Compare)

1747 Baptist Clay Dr
Suite 320
Fleming Island, FL 32003-8503
Phone (904) 224-5185

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131129FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince Jan 30, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Cardiovascular Disease CurrentSince Apr 14, 2017 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Apr 14, 2017 Accepting new patients
Baptist Cardiology Inc Cardiovascular Disease CurrentSince Jan 30, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Internal Medicine CurrentSince Apr 14, 2017 Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

1747 Baptist Clay Dr
Ste 320
Fleming Island, FL 32003
Phone (904) 224-5185

2310 Village Square Pkwy
Ste 204
Fleming Island, FL 32003
Phone (904) 224-5185

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

201 Lakeshore Pt
Ste B
Saint Marys, GA 31558
Phone (912) 729-6821

Interoperability endpoints

  • Direct secure messaging: ssattiraju162088@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 6

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 1

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1215900808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746652",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746652",
            "telephone_number": "904-720-0599",
            "fax_number": "904-376-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 VILLAGE SQUARE PKWY STE 204",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036409",
            "telephone_number": "904-224-5185",
            "fax_number": "904-376-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTIRAJU",
        "first_name": "SRINIVASAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2024-04-30",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME131129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298041000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02022100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.