Active NPI
Venkata Sridhar Anne, M.D
- Vascular & Interventional Radiology Physician
- Miami, FL
National Provider Identifier
1659565885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- TRN 11859
- Practice address
- 1611 NW 12TH Avenue
Jackson Memorial Hospital, West Wing No. 279
Miami, FL 33136 - Phone
- (305) 585-7500
- NPI assigned
- Aug 30, 2007
- Last updated
- May 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | TRN 11859 | FL | Primary |
| General Practice Physician | 208D00000X | MD441803 | PA |
Addresses
Primary practice location
1611 NW 12TH Avenue
Jackson Memorial Hospital, West Wing No. 279
Miami, FL 33136
Mailing address
3362 Lenox Dr
Pittsburgh, PA 15238-1192
Phone (412) 767-5816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN 11859 | FL | MD | Vascular & Interventional Radiology Physician |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1659565885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3362 LENOX DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152381192",
"telephone_number": "412-767-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVENUE",
"address_2": "JACKSON MEMORIAL HOSPITAL, WEST WING NO. 279",
"city": "MIAMI",
"state": "FL",
"postal_code": "33136",
"telephone_number": "305-585-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNE",
"first_name": "VENKATA SRIDHAR",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-30",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "TRN 11859",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD441803",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.