Active NPI
Sivaram Pillai, M.D.
- Diagnostic Radiology Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301506797
- Practice address
- 301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167 - Phone
- (386) 231-6000
- Fax
- (317) 705-5047
- NPI assigned
- Apr 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 4301506797 | MI | Primary |
Addresses
Primary practice location
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Mailing address
1307 Heatherloch Dr
Gastonia, NC 28054-6443
Other practice location 1
1307 Heatherloch Dr
Gastonia, NC 28054-6443
Phone (704) 747-0161
Other practice location 2
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (800) 653-6568
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000
1480 W Orange Blossom TRL
Adventhealth Imaging Apopka
Apopka, FL 32712-2637
Phone (407) 200-5440
200 N Lakemont Ave
Winter Park, FL 32792-3273
Phone (407) 646-7000
2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050
Phone (407) 200-2355
2200 Fowler Grove Blvd
Suite 60
Winter Garden, FL 34787-5597
Phone (407) 200-0538
235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414
2450 N Orange Blossom TRL
Kissimmee, FL 34744-2316
Phone (407) 846-4343
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 764-4000
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Phone (407) 830-4321
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522
7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone (407) 303-8110
900 Winderley PL
Suite 1100
Maitland, FL 32751-7229
Phone (407) 200-2355
Hospital & facility affiliations
- Adventhealth New Smyrna Beach
- Adventhealth Daytona Beach
- Adventhealth Orlando
- Adventhealth Fish Memorial
- Adventhealth Riverview
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301506797 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Radiology Imaging at Lake Mary, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Florida Radiology Imaging at Lake Mary LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606
235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- sivaram.pillai@hca4.eclinicaldirectplus.com
- spillai781705@direct.hfhs.org
- spillai2203418@adventhealth.direct-ci.com
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1073785044
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Diagnostic Radiology Physician
- Oviedo, FL
- NPI 1891874699
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverview, FL
- NPI 1699345314
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1437682028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 HEATHERLOCH DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280546443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MEMORIAL MEDICAL PKWY",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175167",
"telephone_number": "386-231-6000",
"fax_number": "317-705-5047"
}
],
"practiceLocations": [
{
"address_1": "1307 Heatherloch Dr",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280546443",
"country_code": "US",
"telephone_number": "704-747-0161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2799 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022608",
"country_code": "US",
"telephone_number": "800-653-6568",
"fax_number": "313-876-1305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILLAI",
"first_name": "SIVARAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301506797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.