Organization Active NPI

Sai Medical Center LLC

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1467541839
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAI MEDICAL CENTER LLC
Practice address
3831 16TH St N
St Petersburg, FL 33703-5601
Phone
(727) 527-2139
Fax
(727) 522-2832
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Ramanujachary Iyyunni
Title
President
Phone
(727) 527-2139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3831 16TH St N
St Petersburg, FL 33703-5601

Mailing address

PO Box 24535
Tampa, FL 33623-4535
Phone (727) 823-2188

Other identifiers 3

IdentifierTypeStateIssuer
45551OtherFLBCBS
CH7631OtherFLRR MCR LOC 2
CH7639OtherFLRR MCR LOC 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090630000525 FL Part B Supplier - Clinic/Group Practice 4284785338 Receives reassigned benefits from 2 practitioners
Practice locations: St Petersburg, FL; Pinellas Park, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0983859Sai Medical Center3831 16TH St N, Saint Petersburg, FL 33703Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Locations

8999 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 576-9999

3831 16th St N
St Petersburg, FL 33703
Phone (727) 527-2139

3831 16th St N
#7631
St Petersburg, FL 33703

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1467541839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24535",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336234535",
            "telephone_number": "727-823-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035601",
            "telephone_number": "727-527-2139",
            "fax_number": "727-522-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "IYYUNNI",
        "authorized_official_first_name": "RAMANUJACHARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-527-2139"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45551",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR LOC 2",
            "identifier": "CH7631",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR LOC 1",
            "identifier": "CH7639",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.