Siva P Sontineni,MD,PA.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

SIVA P SONTINENI,MD,PA.

Doing business as

Radiant Heart & Vascular Care

Practice address

2701 Shoreline Dr Ste 101
Denton, TX 76210-0175

Phone

(469) 645-1155

Fax

(469) 645-1210

NPI assigned

Aug 7, 2015

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Siva Prasad Sontineni, MDNPI 1114142403

Title

Director

Phone

(469) 645-1155

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• RADIANT HEART & VASCULAR CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Siva Prasad Sontineni, M.D.

  • Interventional Cardiology Physician
  • Denton, TX
  • NPI 1114142403

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1508242058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293297",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750293297",
            "telephone_number": "469-645-1155",
            "fax_number": "469-645-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SHORELINE DR STE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100175",
            "telephone_number": "469-645-1155",
            "fax_number": "469-645-1210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Lynn Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573709",
            "country_code": "US",
            "telephone_number": "469-645-1155",
            "fax_number": "469-645-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIVA P SONTINENI,MD,PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SONTINENI",
        "authorized_official_first_name": "SIVA",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-645-1155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD PTAN",
            "identifier": "DW0363",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3514937",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RADIANT HEART & VASCULAR CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Interventional Cardiology Physician in Denton, TX
• Providers in Denton, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.