Active NPI
Srinivasan Sattiraju, MD
- Cardiovascular Disease Physician
- Fleming Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME131129
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298041000 | Medicaid | MN | |
| 02022100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME131129 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Cardiology, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Cardiovascular Disease | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Baptist Cardiology Inc | Cardiovascular Disease | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Internal Medicine | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1760751598
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
GA
-
- Cardiovascular Disease Physician
- Fleming Island, FL
- NPI 1629416805
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1851551121
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.