Individual provider Active NPI

Krishna M Sikaria, M.D.

  • Cardiovascular Disease Physician
  • Saint Augustine, FL
National Provider Identifier
1366465783
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0064435 Issued in FL
Practice address
301 Health Park Blvd
Ste # 329
Saint Augustine, FL 32086-5793
Phone
(904) 825-4333
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ME0064435 FL Primary

Addresses

Primary practice location

301 Health Park Blvd
Ste # 329
Saint Augustine, FL 32086-5793

Mailing address

238 Fiddlers Point Dr
Saint Augustine, FL 32080-6133
Phone (904) 825-4333

Other identifiers 3

IdentifierTypeStateIssuer
375418900MedicaidFL
25436OtherFLFL BLUE CROSS BLUE SHIELD
060052505OtherFLRAILROAD MEDICARE

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
I20101104000342 FL Practitioner - Cardiovascular Disease (Cardiology) 6709070634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Health Park Blvd
Suite 329
Saint Augustine, FL 32086-5771
Phone (904) 825-4333

Hospital & facility affiliations

  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as apm
Quality
77.66
Promoting interoperability
70.54
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0064435FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Center of Saint Augustine, PA Cardiovascular Disease CurrentSince Jul 28, 2010 Accepting new patients

Locations

301 Health Park Blvd
Ste 329
St Augustine, FL 32086
Phone (904) 825-0540

Interoperability endpoints

  • Direct secure messaging: ksikaria740714@direct.shands.ufl.edu

Organizations & group practices 1

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 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366465783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 FIDDLERS POINT DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806133",
            "telephone_number": "904-825-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD",
            "address_2": "STE # 329",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865793",
            "telephone_number": "904-825-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKARIA",
        "first_name": "KRISHNA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0064435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375418900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE CROSS BLUE SHIELD",
            "identifier": "25436",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060052505",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.