Individual provider Active NPI

Siva Subramaniam Iyer, M.D.

  • Ophthalmology Physician
  • Gainesville, FL
National Provider Identifier
1831361690
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME127344 Issued in FL
Practice address
1600 SW Archer Rd
#100371
Gainesville, FL 32610-3001
Phone
(352) 265-0301
Fax
(352) 265-0627
NPI assigned
Apr 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 22805 MS
Ophthalmology Physician 207W00000X MD205040 LA
Ophthalmology Physician 207W00000X ME127344 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
#100371
Gainesville, FL 32610-3001

Mailing address

PO Box 100284
Gainesville, FL 32610-0284
Phone (352) 273-8778

Other practice location 1

6201 W Newberry Rd
Gainesville, FL 32605-4305
Phone (352) 265-2020

Other identifiers 3

IdentifierTypeStateIssuer
P01454869OtherMSRAILROAD MEDICARE PTAN
017081100MedicaidFL
04989542MedicaidMS

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
I20160506001413 FL Practitioner - Ophthalmology 5597992347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreo Retinal Associates PAGroup PAC ID 6103816285, 4 clinicians

Practice addresses (Care Compare)

4340 Newberry Rd
Suite 202
Gainesville, FL 32607-2557
Phone (352) 371-2800

Merit-based Incentive Payment System (MIPS)

Final score
99.38 of 100Reported as group
Quality
98.75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127344FLMDOphthalmology Physician
MD205040LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Ophthalmology CurrentSince May 20, 2016 Accepting new patients
Vitreo Retinal Associates PA Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince May 20, 2016 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
#100371
Gainesville, FL 32610
Phone (352) 265-8335

4340 Newberry Rd
Ste 202
Gainesville, FL 32607
Phone (352) 371-2800

6201 W Newberry Rd
Gainesville, FL 32605
Phone (352) 265-2020

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

438 SW Perimeter Gln
#101
Lake City, FL 32025
Phone (386) 754-0999

10238 SW 86th Cir
Unit 100
Ocala, FL 34481
Phone (352) 867-0045

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1831361690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100284",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100284",
            "telephone_number": "352-273-8778",
            "fax_number": "352-273-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "#100371",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103001",
            "telephone_number": "352-265-0301",
            "fax_number": "352-265-0627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 W Newberry Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326054305",
            "country_code": "US",
            "telephone_number": "352-265-2020",
            "fax_number": "352-265-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IYER",
        "first_name": "SIVA",
        "middle_name": "SUBRAMANIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "22805",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD205040",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME127344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01454869",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017081100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04989542",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.