Individual provider Active NPI

Sasidhar Guthikonda, M.D.

  • Interventional Cardiology Physician
  • Humacao, PR
National Provider Identifier
1851595367
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
023764 Issued in PR
Practice address
355 Calle Font Martelo Ste 105
Humacao, PR 00791-3249
Phone
(787) 603-3883
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 023764 PR
Interventional Cardiology Physician 207RI0011X 023764 PR Primary
Cardiovascular Disease Physician 207RC0000X 057471 GA
Interventional Cardiology Physician 207RI0011X 57471 GA

Addresses

Primary practice location

355 Calle Font Martelo Ste 105
Humacao, PR 00791-3249

Mailing address

285 Palmas Inn Way Apt 4304
Humacao, PR 00791-6712
Phone (787) 603-3883

Other practice location 1

1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110
Phone (770) 716-0051

Other identifiers 1

IdentifierTypeStateIssuer
214686737A-MMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PR, OR, MT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100505000029 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6204929813 Reassigns benefits to 2 organizations
I20240724004411 PR Practitioner - Interventional Cardiology 6204929813 Reassigns benefits to 1 organization
I20250513002766 OR Practitioner - Cardiovascular Disease (Cardiology) 6204929813 Reassigns benefits to 1 organization
I20250805003640 MT Practitioner - Interventional Cardiology 6204929813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians
RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians

Practice addresses (Care Compare)

20 Francis Way
Suite 101
Sharpsburg, GA 30277-3588
Phone (404) 605-5100

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 327-4058

Hospital & facility affiliations

  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • Deer Lodge Medical Center Hospital, Deer Lodge, MT, CCN 271314
  • St Luke Community Hospital Hospital, Ronan, MT, CCN 271325
  • Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057471GAMDCardiovascular Disease Physician
023764PRMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP Billings - Missoula LLC CurrentSince Sep 1, 2025 Accepting new patients
Cenit Medical Consultants LLC CurrentSince Jun 11, 2024 Accepting new patients
Salem Health Current Accepting new patients
Salem Health CurrentSince May 5, 2025 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Sep 1, 2025 Accepting new patients
Upson Surgical Associates, LLC CurrentSince Jun 9, 2025 Accepting new patients
Salem Health CurrentSince May 5, 2025 Accepting new patients
TMH Physician Organization Cardiovascular Disease Past Accepting new patients
Piedmont Athens Specialty Care LLC Cardiovascular Disease Past Accepting new patients

Locations

612 W Gordon St
Ste B
Thomaston, GA 30286
Phone (706) 647-9433

2827 Fort Missoula Rd
Bldg 5
Missoula, MT 59804
Phone (406) 327-4646

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

355 Calle Font Martelo
Ste 105
Humacao, PR 00791
Phone (787) 603-3883

Interoperability endpoints

  • Direct secure messaging: sguthikonda403848@direct.salemhealth.org

Organizations & group practices 10

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 8

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1851595367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 PALMAS INN WAY APT 4304",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007916712",
            "telephone_number": "787-603-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CALLE FONT MARTELO STE 105",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913249",
            "telephone_number": "787-603-3883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1267 Highway 54 W Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142110",
            "country_code": "US",
            "telephone_number": "770-716-0051",
            "fax_number": "770-716-0087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTHIKONDA",
        "first_name": "SASIDHAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "023764",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "023764",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "057471",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "57471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214686737A-M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.