Individual provider Active NPI

KR Byju, MD

  • Gastroenterology Physician
  • Sarasota, FL
National Provider Identifier
1649267972
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME83308 Issued in FL
Practice address
2401 University Pkwy
Ste 202
Sarasota, FL 34243
Phone
(941) 360-2579
Fax
(941) 360-2580
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME83308 FL Primary

Addresses

Primary practice location

2401 University Pkwy
Ste 202
Sarasota, FL 34243

Mailing address

2401 University Pkwy
Ste 202
Sarasota, FL 34243-2893
Phone (941) 360-2579

Other identifiers 6

IdentifierTypeStateIssuer
ME83308OtherME NUMBER
13743OtherFLBCBS
2206358OtherUHC
1339812001OtherCIGNA
01547OtherUNIVERSAL
2744403OtherFLAETNA

Other names 1

  • Kizhakevilayil R Byju Former name

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
I20050609000067 FL Practitioner - Gastroenterology 3476596628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2401 University Pkwy
Suite 202
Sarasota, FL 34243-2894

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy97
Upper gastrointestinal (GI) endoscopy for acid reflux110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83308FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Digestive Health Specialists, LLP Gastroenterology CurrentSince Jan 1, 2011 Accepting new patients
FDHS Hospitalists LLC Gastroenterology CurrentSince Jan 1, 2011 Accepting new patients
K R Byju MD PLC Gastroenterology PastSince Sep 14, 2004 Accepting new patients

Locations

1040 River Heritage Blvd
Unit 202
Bradenton, FL 34212
Phone (941) 262-0400

1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100

10920 Technology Ter
Lakewood Ranch, FL 34211
Phone (941) 216-4835

2401 University Pkwy
Ste 202
Sarasota, FL 34243
Phone (941) 351-9995

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kr.byju@fdhs.eclinicaldirectplus.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 and National Provider Directory roles.

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649267972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY",
            "address_2": "STE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-360-2579",
            "fax_number": "941-360-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY",
            "address_2": "STE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34243",
            "telephone_number": "941-360-2579",
            "fax_number": "941-360-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYJU",
        "first_name": "KR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME83308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME NUMBER",
            "identifier": "ME83308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13743",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2206358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1339812001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "01547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2744403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIZHAKEVILAYIL",
            "last_name": "BYJU",
            "middle_name": "R",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.