Individual provider Active NPI

Siva Mohan Krothapalli

  • Clinical Cardiac Electrophysiology Physician
  • Tallahassee, FL
National Provider Identifier
1790913382
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
41376 Issued in AL
Practice address
2100 Centerville Rd
Tallahassee, FL 32308-4379
Phone
(850) 216-0100
NPI assigned
Jun 23, 2009
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 41376 AL Primary

Addresses

Primary practice location

2100 Centerville Rd
Tallahassee, FL 32308-4379

Mailing address

1717 6TH Ave S
Birmingham, AL 35233-1801

Other practice location 1

1717 6th Ave S
Birmingham, AL 35233-1801
Phone (800) 822-8816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, AL, FL3 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
I20170728001954 MN Practitioner - Cardiovascular Disease (Cardiology) 9537301940 Reassigns benefits to 1 organization
I20210402000310 AL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiac Surgery 9537301940 Reassigns benefits to 1 organization
I20250129001123 FL Practitioner - Cardiovascular Disease (Cardiology) 9537301940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2473 Care Dr
Suite 102
Tallahassee, FL 32308-9815
Phone (850) 431-5001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Jan 13, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 1, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc Cardiovascular Disease CurrentSince Jan 13, 2025 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
St Joseph's Medical Center CurrentSince Dec 1, 2020 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
St. Joseph's Medical Center CurrentSince Dec 1, 2020 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

619 19th St S
#311
Birmingham, AL 35249

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

2100 Centerville Rd
Tallahassee, FL 32308
Phone (850) 216-0178

2473 Care Dr
Ste 102
Tallahassee, FL 32308
Phone (850) 320-6054

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1790913382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084379",
            "telephone_number": "850-216-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331801",
            "country_code": "US",
            "telephone_number": "800-822-8816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROTHAPALLI",
        "first_name": "SIVA MOHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AL",
            "license": "41376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.