Individual provider Active NPI

Sridhar Srinivasan, MD

  • Hematology & Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1750598363
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME99519 Issued in FL
Practice address
14546 Old Saint Augustine Rd Ste 100
Jacksonville, FL 32258-5468
Phone
(904) 202-7300
Fax
(904) 202-7377
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C1-0028140 DE
Hematology & Oncology Physician 207RH0003X 062292 GA
Hematology & Oncology Physician 207RH0003X 4301085324 MI
Hematology & Oncology Physician 207RH0003X ME99519 FL Primary

Addresses

Primary practice location

14546 Old Saint Augustine Rd Ste 100
Jacksonville, FL 32258-5468

Mailing address

PO Box 45278
Jacksonville, FL 32232-5278
Phone (904) 202-2092

Other practice location 1

4701 Ogletown Stanton Road
Suite 2300
Newark, DE 19713-2055
Phone (302) 731-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, DE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080804000653 FL Practitioner - Hematology/OncologyPractitioner - Physical Medicine and Rehabilitation 4385718634 Reassigns benefits to 2 organizations
I20091027000428 GA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4385718634 Reassigns benefits to 3 organizations
I20250702002390 DE Practitioner - Hematology/Oncology 4385718634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Wilmington, DE 19803-2764

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

400 Pinellas St
Suite 220
Clearwater, FL 33756-3318
Phone (727) 462-3692

4701 Ogletown Stanton Rd
Newark, DE 19713-2055
Phone (302) 623-3605

4701 Ogletown Stanton Rd
Suite 2100
Newark, DE 19713-7000
Phone (302) 623-4960

501 W 14TH St
Wilmington, DE 19801-1013

501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300

501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0028140DEMDHematology & Oncology Physician
ME99519FLMDHematology & Oncology Physician
062292GAMDHematology & Oncology Physician
4301085324MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Jun 24, 2025 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients
Baycare Medical Group, Inc CurrentSince May 30, 2024 Accepting new patients
Baptist MD Anderson Cancer Physicians Inc Hematology & Oncology CurrentSince Jun 22, 2018 Accepting new patients
Coffee County Hospitalist Physicians, LLC CurrentSince Jan 14, 2020 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jun 24, 2025 Accepting new patients
Baycare Medical Group, Inc. CurrentSince May 30, 2024 Accepting new patients
The Baxley and Appling County Hospital Authority Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200

4701 Ogletown Stanton Rd
Ste 2300
Newark, DE 19713
Phone (302) 731-7782

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

1301 Palm Ave
Jacksonville, FL 32207
Phone (844) 632-2278

14546 Old Saint Augustine Rd
Ste 105
Jacksonville, FL 32258
Phone (904) 271-6890

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

6901 Simmons Loop
Ste 203
Riverview, FL 33578
Phone (813) 302-8718

316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

1706 Alice St
Waycross, GA 31501
Phone (912) 283-6240

1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690

Interoperability endpoints

  • Direct secure messaging: sridhar.srinivasanmd@direct.mybaycare.org
  • Direct secure messaging: sridhar.srinivasan@mhs.gadirect.net
  • Direct secure messaging: sridhar.srinivasan@dclp.ikm.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1750598363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45278",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322325278",
            "telephone_number": "904-202-2092",
            "fax_number": "904-393-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14546 OLD SAINT AUGUSTINE RD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585468",
            "telephone_number": "904-202-7300",
            "fax_number": "904-202-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 2300",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "country_code": "US",
            "telephone_number": "302-731-7782",
            "fax_number": "302-738-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "SRIDHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "DE",
            "license": "C1-0028140",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "062292",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301085324",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME99519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.