Renuka Siddharthan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME51650 Issued in FL

Practice address

1515 S Osprey Ave Ste A1
Sarasota, FL 34239-2933

Phone

(941) 917-7197

Fax

(941) 917-4016

NPI assigned

Jun 11, 2006

Last updated

Feb 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renuka.siddharthan@fpg.directbygreenway.com

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.

• SMH Physician Services Inc

  dba First Physicians Group

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1346295292
  Medicare reassignment NPD
• Chapters Health Palliative Care, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Temple Terrace, FL
  • NPI 1073683553
  NPD (past)
• Public Health Trust of Miami Dade County Florida

  dba Jackson Memorial Long Term Care Center

  • Skilled Nursing Facility
  • Miami, FL
  • NPI 1134116320
  NPD (past)
• Public Health Trust of Miami Dade County Florida

  • Urgent Care Clinic/Center
  • Miami Beach, FL
  • NPI 1578418232
  NPD (past)
• SMH Physician Services Inc

  dba Sarasota Memorial Physician Group

  • Geriatric Medicine (Internal Medicine) Physician
  • Sarasota, FL
  • NPI 1063629269
  NPD (past)
• Radiology Associates of South Florida LLC

  • Diagnostic Radiology Physician
  • Longview, TX
  • NPI 1699759183
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1801838222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S OSPREY AVE STE A1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392933",
            "telephone_number": "941-917-7197",
            "fax_number": "941-917-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDHARTHAN",
        "first_name": "RENUKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME51650",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0051650",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME 0051650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14Q7L",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064032800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alissa Marie Shulman, M.D.
• Svetlana Shulman
• William Joseph Shuttleworth, MSPT
• Tammy Gene Sicard, IMH 4536
• Bruce Sicilia, MD
• Omar Siddiqui, DMD
• Side by Side Senior Support L.L.C
• Andrew Sidhom, MD
• Bryan D Sieber, CRNA
• Jeffrey Siegal, M.D.

• Internal Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.

Verify at the official NPI Registry.