Active NPI
Sisir Akkineni, M.D.
- Pulmonary Disease Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 87861
- Practice address
- 1365 Clifton Rd NE BLDG A3
Atlanta, GA 30322-1013 - Phone
- (404) 778-7823
- NPI assigned
- May 22, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME142615 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 21405 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 87861 | GA | |
| Pulmonary Disease Physician | 207RP1001X | 87861 | GA | Primary |
Addresses
Primary practice location
1365 Clifton Rd NE BLDG A3
Atlanta, GA 30322-1013
Mailing address
1365 Clifton Rd NE BLDG A3
Atlanta, GA 30322-1013
Other practice location 1
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-5215 ext. 2
Other practice location 2
2 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 821-8038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7LXZ5 | Other | FL | BLUE CROSS BLUE SHIELD |
| 114342700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sakkimeni217194@direct.tgh.org |
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
- Pulmonary Disease
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17 Davis Blvd
Tampa, FL 33606-3475
Phone (813) 821-8038
4202 E Fowler Ave
Tampa, FL 33620-6750
Hospital & facility affiliations
- Tampa General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21405 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients |
Locations
12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- sakkineni217194@direct.tgh.org
Organizations & group practices 4
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1487033486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 CLIFTON RD NE BLDG A3",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 CLIFTON RD NE BLDG A3",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221013",
"telephone_number": "404-778-7823"
}
],
"practiceLocations": [
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33136",
"country_code": "US",
"telephone_number": "305-585-5215 x2",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Tampa General Cir",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063571",
"country_code": "US",
"telephone_number": "813-821-8038",
"fax_number": "813-974-4325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKKINENI",
"first_name": "SISIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-22",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME142615",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "21405",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "87861",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "87861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7LXZ5",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114342700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sakkimeni217194@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.