Active NPI
Sai Medical Center LLC
- Internal Medicine Physician
- St Petersburg, FL
National Provider Identifier
1467541839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45551 | Other | FL | BCBS |
| CH7631 | Other | FL | RR MCR LOC 2 |
| CH7639 | Other | FL | RR MCR LOC 1 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0983859 | Sai Medical Center | Certificate of waiver | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Pinellas Park, FL
- NPI 1902907546
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1043311699
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.