Individual provider Active NPI

Shreya Vinodrai Ghetiya, MD

  • Cardiovascular Disease Physician
  • Jacksonvill, FL
National Provider Identifier
1508253600
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME149855 Issued in FL
Practice address
11851 Stillwood Pines Blvd
Suite 203
Jacksonvill, FL 32224-4435
Phone
(904) 376-4820
Fax
(904) 618-2150
NPI assigned
Apr 16, 2015
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME149855 FL Primary

Addresses

Primary practice location

11851 Stillwood Pines Blvd
Suite 203
Jacksonvill, FL 32224-4435

Mailing address

PO Box 746652
Atlanta, GA 30374-6652
Phone (904) 202-2092

Other practice location 1

836 Prudential Dr Ste 1700
Jacksonville, FL 32207-8344
Phone (904) 398-0125

Other practice location 2

3225 University Blvd S Ste 104
Jacksonville, FL 32216-2757
Phone (904) 399-1171

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
I20211018002724 FL Practitioner - Cardiovascular Disease (Cardiology) 3173877214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians

Practice addresses (Care Compare)

3225 University Blvd S
Suite 104
Jacksonville, FL 32216-2757
Phone (904) 399-1171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149855FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecg Associates of Jacksonville P a CurrentSince Mar 6, 2024 Accepting new patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince Nov 1, 2021 Accepting new patients

Locations

3225 University Blvd S
Ste 104
Jacksonville, FL 32216
Phone (904) 399-1171

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

Interoperability endpoints

  • Direct secure messaging: sghetiya28134@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 2

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 3

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1508253600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746652",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746652",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 STILLWOOD PINES BLVD",
            "address_2": "SUITE 203",
            "city": "JACKSONVILL",
            "state": "FL",
            "postal_code": "322244435",
            "telephone_number": "904-376-4820",
            "fax_number": "904-618-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 Prudential Dr Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078344",
            "country_code": "US",
            "telephone_number": "904-398-0125",
            "fax_number": "904-376-3206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3225 University Blvd S Ste 104",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322162757",
            "country_code": "US",
            "telephone_number": "904-399-1171",
            "fax_number": "904-727-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHETIYA",
        "first_name": "SHREYA",
        "middle_name": "VINODRAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME149855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonvill, FL

Sources for this page

Verify at the official NPI Registry.