Active NPI
Satya S Davuluri, M.D.,
- Internal Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 95063
- Practice address
- 2332 Riverside Ave
Jacksonville, FL 32204-4610 - Phone
- (904) 450-8720
- Fax
- (904) 450-8729
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME95063 | FL | |
| Internal Medicine Physician | 207R00000X | ME 95063 | FL | Primary |
Addresses
Primary practice location
2332 Riverside Ave
Jacksonville, FL 32204-4610
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6017
Other practice location 1
580 W 8th St
suite 6009
Jacksonville, FL 32209-6533
Phone (904) 244-9470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009677600 | 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
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10058 Baymeadows Rd
Jacksonville, FL 32256-7177
Phone (904) 636-5400
1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006
Hospital & facility affiliations
- Ascension Health at Home of Florida 1 LLC
- Ascension St Vincent'S Southside
- Ascension St Vincent'S Riverside
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 95063 | FL | MD | Internal Medicine Physician |
| ME95063 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anil George MD PA | Internal Medicine | Current | Accepting new patients |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| St Vincents Ambulatory Care Inc | Internal Medicine | Current | Accepting new patients |
Locations
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
580 W 8th St
Ste 6009
Jacksonville, FL 32209
Phone (904) 244-9470
915 W Monroe St
Ste 301
Jacksonville, FL 32204
Phone (904) 353-8562
2332 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-2540
10058 Baymeadows Rd
Jacksonville, FL 32256
Phone (904) 450-6870
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEBAAA
- satya.davuluri.1@8967.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
Internal Medicine
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1548326242
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1811590961
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1821294182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6017",
"fax_number": "904-450-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2332 RIVERSIDE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044610",
"telephone_number": "904-450-8720",
"fax_number": "904-450-8729"
}
],
"practiceLocations": [
{
"address_1": "580 W 8th St",
"address_2": "suite 6009",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322096533",
"country_code": "US",
"telephone_number": "904-244-9470",
"fax_number": "904-244-9471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVULURI",
"first_name": "SATYA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME95063",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 95063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009677600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.