Active NPI
Srinivas Rao Dontineni, MD
- Internal Medicine Physician
- Cocoa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME88036
- Practice address
- 2428 Clearlake Rd BLDG K
Cocoa, FL 32922-5722 - Phone
- (321) 368-3862
- Fax
- (321) 208-8717
- NPI assigned
- Sep 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME88036 | FL | Primary |
Addresses
Primary practice location
2428 Clearlake Rd BLDG K
Cocoa, FL 32922-5722
Mailing address
PO Box 560059
Rockledge, FL 32956-0059
Phone (321) 795-6380
Other practice location 1
1264 Malabar Rd SE
Palm Bay, FL 32907-2556
Phone (321) 726-6464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82027 | Other | FL | BLUE CROSS BLUE SHIELD |
| 268191900 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2428 Clearlake Rd
BLDG K
Cocoa, FL 32922-5722
Phone (321) 368-3862
Hospital & facility affiliations
- Holmes Regional Medical Center
- Palm Bay Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| Madhavi Chary LLC | Internal Medicine | Current | Accepting new patients |
| Srinivas Dontineni MD PA | Internal Medicine | Current | Accepting new patients |
| Rockledge Hospitalist Services LLC | Past | Accepting new patients |
Locations
2428 Clearlake Rd
Bldg K
Cocoa, FL 32922
Phone (321) 368-3862
250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600
2800 Aurora Rd
Ste F
Melbourne, FL 32935
Phone (321) 368-3862
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719
4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093
Interoperability endpoints
- sdontineni71594@epicdirect.hf.org
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Saint Petersburg, FL
- NPI 1245569870
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1215413232
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- Emergency Medicine Physician
- Rockledge, FL
- NPI 1699068908
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1669467155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 560059",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329560059",
"telephone_number": "321-795-6380",
"fax_number": "321-208-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 CLEARLAKE RD BLDG K",
"city": "COCOA",
"state": "FL",
"postal_code": "329225722",
"telephone_number": "321-368-3862",
"fax_number": "321-208-8717"
}
],
"practiceLocations": [
{
"address_1": "1264 Malabar Rd SE",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329072556",
"country_code": "US",
"telephone_number": "321-726-6464",
"fax_number": "321-725-3244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONTINENI",
"first_name": "SRINIVAS",
"middle_name": "RAO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME88036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "82027",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268191900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.