Individual provider Active NPI

Sahana R Kalmadi, MD

  • Hematology & Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1770535700
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME 92400 Issued in FL
Practice address
14546 Old Saint Augustine Rd Ste 317
Jacksonville, FL 32258-5472
Phone
(904) 260-9445
Fax
(904) 260-0005
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME 92400 FL Primary

Addresses

Primary practice location

14546 Old Saint Augustine Rd Ste 317
Jacksonville, FL 32258-5472

Mailing address

7015 Ac Skinner Parkway
Suite 1
Jacksonville, FL 32256
Phone (904) 363-7453

Other identifiers 4

IdentifierTypeStateIssuer
01521OtherFLBCBS
296866OtherFLAVMED
7449667OtherFLAETNA
271925800MedicaidFL

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
I20050418000396 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8426096827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Specialists LLCGroup PAC ID 9133377948, 46 clinicians

Practice addresses (Care Compare)

14546 Old Saint Augustine Rd
Jacksonville, FL 32258-5468
Phone (904) 260-9445

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 92400FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Specialists, LLC CurrentSince Oct 1, 2012 Accepting new patients
Cancer Specialists, LLC Hematology & Oncology CurrentSince Oct 1, 2012 Accepting new patients

Locations

1235 San Marco Blvd
Ste 202
Jacksonville, FL 32207
Phone (904) 306-9229

14546 Old St Augustine Rd
Ste 317
Jacksonville, FL 32258
Phone (904) 260-9445

5742 Booth Rd
Ste A
Jacksonville, FL 32207
Phone (904) 739-7779

2 Shircliff Way
Ste 800
Jacksonville, FL 32204
Phone (904) 388-2619

5742 Booth Rd
Ste B
Jacksonville, FL 32207
Phone (904) 309-8680

7015 A C Skinner Pkwy
Ste 1
Jacksonville, FL 32256
Phone (904) 363-2113

1375 Roberts Dr
Ste 103
Jacksonville Beach, FL 32250
Phone (904) 997-3800

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1770535700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 AC SKINNER PARKWAY",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-363-7453",
            "fax_number": "904-538-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14546 OLD SAINT AUGUSTINE RD STE 317",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585472",
            "telephone_number": "904-260-9445",
            "fax_number": "904-260-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMADI",
        "first_name": "SAHANA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME 92400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01521",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "296866",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7449667",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271925800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.