Individual provider Active NPI

Satya S Davuluri, M.D.,

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1821294182
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 95063 Issued in FL
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

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009677600MedicaidFL

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
I20080207000511 FL Practitioner - Internal Medicine 8022191493 Reassigns benefits to 2 organizations

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
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 95063FLMDInternal Medicine Physician
ME95063FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anil George MD PA Internal Medicine CurrentSince May 1, 2007 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Oct 1, 2020 Accepting new patients
St Vincents Ambulatory Care Inc Internal Medicine CurrentSince Oct 1, 2020 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBAAA
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.