Active NPI
Sasidhar Guthikonda, M.D.
- Interventional Cardiology Physician
- Humacao, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 023764
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214686737A-M | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, PR, OR, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Deer Lodge Medical Center
- St Luke Community Hospital
- Bitterroot Health - Daly Hospital
- St. Patrick Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 12 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057471 | GA | MD | Cardiovascular Disease Physician |
| 023764 | PR | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Cenit Medical Consultants LLC | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Upson Surgical Associates, LLC | Current | Accepting new patients | |
| Salem Health | Current | 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
- 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.
-
- Internal Medicine Physician
- Humacao, PR
- NPI 1295579001
-
- Specialist
- Missoula, MT
- NPI 1376946913
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Surgery Physician
- Thomaston, GA
- NPI 1790076974
-
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1174565857
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- Critical Access Hospital
- Deer Lodge, MT
- NPI 1275560617
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
-
- Critical Access Hospital
- Ronan, MT
- NPI 1336213446
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.