Individual provider Active NPI

Jayanth Sridhar, M.D.

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1366746166
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME128049 Issued in FL
Practice address
900 NW 17TH St
Miami, FL 33136-1119
Phone
(305) 326-6391
NPI assigned
Jan 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X TRN15331 FL
Ophthalmology Physician 207W00000X ME128049 FL Primary

Addresses

Primary practice location

900 NW 17TH St
Miami, FL 33136-1119

Mailing address

320 Leucadendra Dr
Coral Gables, FL 33156-2329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 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
I20160907000661 FL Practitioner - Ophthalmology 4284854092 Reassigns benefits to 1 organization
I20210817003243 CA Practitioner - Ophthalmology 4284854092 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128049FLMDOphthalmology Physician
TRN15331FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Ophthalmology CurrentSince Jan 1, 2020 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Current Accepting new patients
County of Los Angeles CurrentSince Jan 8, 2026 Accepting new patients
County of Los Angeles CurrentSince Jan 8, 2026 Accepting new patients
University of Miami Past Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

900 NW 17th St
Fl 5
Miami, FL 33136
Phone (561) 515-1500

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

7101 Fairway Dr
West Palm Beach, FL 33418
Phone (561) 515-1500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network
  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1366746166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LEUCADENDRA DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331562329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361119",
            "telephone_number": "305-326-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIDHAR",
        "first_name": "JAYANTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-07",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "TRN15331",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME128049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.