Individual provider Active NPI

Srinivas Rajendran, D.O.

  • Internal Medicine Physician
  • Largo, FL
National Provider Identifier
1497050132
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
UOUO2471 Issued in FL
Practice address
2025 Indian Rocks Rd S
Largo, FL 33774-1035
Phone
(727) 586-7103
NPI assigned
Jan 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UOUO2471 FL Primary

Addresses

Primary practice location

2025 Indian Rocks Rd S
Largo, FL 33774-1035

Mailing address

2025 Indian Rocks Rd S
Largo, FL 33774-1035

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
I20170522000990 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5890062921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Baptist Hospital IncGroup PAC ID 9537188289, 7 clinicians

Practice addresses (Care Compare)

3202 N Park Rd
Plant City, FL 33563-2026
Phone (813) 757-8343

Hospital & facility affiliations

  • South Florida Baptist Hospital Hospital, Plant City, FL, CCN 100132
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UOUO2471FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Baptist Hospital Inc Current Accepting new patients
Devarakonda & Rajendran MD S Current Accepting new patients
South Florida Baptist Hospital Inc CurrentSince Apr 2, 2018 Accepting new patients
South Florida Baptist Hospital Inc. CurrentSince Apr 2, 2018 Accepting new patients

Locations

1507 W Reynolds St
Ste B
Plant City, FL 33563
Phone (813) 240-0578

3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

Hospital & facility affiliations 4

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": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1497050132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035",
            "telephone_number": "727-586-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJENDRAN",
        "first_name": "SRINIVAS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UOUO2471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.