Individual provider Active NPI

Sravan K Thangeda, MD

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1487876439
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME122293 Issued in FL
Practice address
10991 San Jose Blvd # 100
Jacksonville, FL 32223-6675
Phone
(904) 839-1263
Fax
(904) 656-7306
NPI assigned
May 2, 2007
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME122293 FL Primary
Hospitalist Physician 208M00000X ME122293 FL

Addresses

Primary practice location

10991 San Jose Blvd # 100
Jacksonville, FL 32223-6675

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sravan.thangeda.1@29601.direct.athenahealth.com

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
I20151030001749 FL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Hospitalist 5294818928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10991 San Jose Blvd
Suite 100
Jacksonville, FL 32223-6675
Phone (904) 839-1263

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME122293FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care FL JV PLLC Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care FL JV PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Centerwell Senior Primary Care FL JV PLLC Internal Medicine Past Accepting new patients

Locations

10991 San Jose Blvd
#100
Jacksonville, FL 32223
Phone (904) 839-1263

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

28516 Wesley Chapel Blvd
Wesley Chapel, FL 33543
Phone (813) 345-3829

Interoperability endpoints

  • Direct secure messaging: sravan.thangeda.1@29601.direct.athenahealth.com
  • Direct secure messaging: sravan.thangeda.2@29601.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1487876439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10991 SAN JOSE BLVD # 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236675",
            "telephone_number": "904-839-1263",
            "fax_number": "904-656-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGEDA",
        "first_name": "SRAVAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122293",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME122293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sravan.thangeda.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10991 San Jose Blvd # 100",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322236675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.