Individual provider Active NPI

Sivaram Pillai, M.D.

  • Diagnostic Radiology Physician
  • Daytona Beach, FL
National Provider Identifier
1437682028
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301506797 Issued in MI
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

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218002664 FL Practitioner - Interventional Radiology 8224416011 Reassigns benefits to 3 organizations

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
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians
Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

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 Hospital, New Smyrna Beach, FL, CCN 100014
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth Riverview Hospital, Riverview, FL, CCN 100364

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
4301506797MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Dec 4, 2023 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Dec 11, 2023 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Dec 4, 2023 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC Diagnostic Radiology CurrentSince Dec 11, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 4, 2023 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

  • Direct secure messaging: sivaram.pillai@hca4.eclinicaldirectplus.com
  • Direct secure messaging: spillai781705@direct.hfhs.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.