Active NPI
Sridhar Reddy Goli, M.D.,
- Pediatric Gastroenterology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- ME124610
- Practice address
- 615 E Princeton St Ste 401
Orlando, FL 32803 - Phone
- (407) 303-9926
- Fax
- (407) 303-9928
- NPI assigned
- Jun 14, 2009
- Last updated
- Jul 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | ME124610 | FL | Primary |
Addresses
Primary practice location
615 E Princeton St Ste 401
Orlando, FL 32803
Mailing address
1507 S Hiawassee Rd Ste 105
Orlando, FL 32835-5706
Phone (407) 445-9224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015728700 | 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
- Gastroenterology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 E Princeton St
Suite 401
Orlando, FL 32803-1469
Phone (407) 303-9926
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
2400 N Orange Blossom Trl
Ste 302
Kissimmee, FL 34744
Phone (407) 932-6193
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
615 E Princeton St
Ste 225
Orlando, FL 32803
Phone (407) 303-9926
615 E Princeton St
Ste 401
Orlando, FL 32803
Phone (407) 303-9194
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
2200 Fowler Grove Blvd
Ste 200
Winter Garden, FL 34787
Phone (407) 271-3607
Interoperability endpoints
- sgoli73133@adventhealth.direct-ci.com
- sridhar.goli@direct.carepointhealth.org
Organizations & group practices 5
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1851528103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 S HIAWASSEE RD STE 105",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355706",
"telephone_number": "407-445-9224",
"fax_number": "407-445-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E PRINCETON ST STE 401",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32803",
"telephone_number": "407-303-9926",
"fax_number": "407-303-9928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLI",
"first_name": "SRIDHAR",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-14",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "FL",
"license": "ME124610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015728700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.
- 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.