Individual provider Active NPI

Amit Srivastava, M.D.

  • Interventional Cardiology Physician
  • Edgewood, KY
National Provider Identifier
1932209608
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
60632 Issued in KY
Practice address
711 Medical Village Drive
Edgewood, KY 41017-3439
Phone
(859) 287-3045
NPI assigned
Sep 23, 2006
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 60632 KY Primary
Interventional Cardiology Physician 207RI0011X ME112042 FL

Addresses

Primary practice location

711 Medical Village Drive
Edgewood, KY 41017-3439

Mailing address

P.O. Box 636324
Cincinnati, OH 45263-6324
Phone (859) 344-5555

Other practice location 1

5398 Park St N
St Petersburg, FL 33709-1041
Phone (727) 544-1441 ext. 150

Other identifiers 3

IdentifierTypeStateIssuer
7101060720MedicaidKY
004600100MedicaidFL
2632771MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120608000433 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0648362509 Reassigns benefits to 4 organizations
I20250725000252 KY Practitioner - Interventional Cardiology 0648362509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Elizabeth Medical Center, IncGroup PAC ID 0648174623, 187 clinicians
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

711 Medical Village Dr
Edgewood, KY 41017-3439
Phone (859) 301-9010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Leg revascularization (restoring blood flow)12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Ekg Interpreters Inc CurrentSince Apr 10, 2013 Accepting new patients
Summit Medical Group, Inc. CurrentSince May 31, 2025 Accepting new patients
St Elizabeth Medical Center, Inc CurrentSince Dec 21, 2025 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Mar 10, 2015 Accepting new patients
Cardiology Interpreters Inc CurrentSince Feb 2, 2013 Accepting new patients
Summit Medical Group, Inc Family Medicine CurrentSince May 31, 2025 Accepting new patients
Morton Plant Mease Health Services Inc Current Accepting new patients
Summit Medical Group, Inc Family Medicine Current Accepting new patients
Morton Plant Mease Health Services, Inc CurrentSince Mar 10, 2015 Accepting new patients
St Elizabeth Medical Center, Inc Family Medicine CurrentSince Dec 21, 2025 Accepting new patients
Bay Area Heart Center PA Interventional Cardiology CurrentSince May 7, 2012 Accepting new patients

Locations

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

200 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 544-1441

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

1201 7th Ave N
St Petersburg, FL 33705
Phone (727) 544-1441

3600 66th St N
St Petersburg, FL 33710
Phone (727) 504-5183

5398 Park St N
St Petersburg, FL 33709
Phone (727) 544-1441

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

711 Medical Village Dr
Edgewood, KY 41017
Phone (859) 287-3045

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15915/brand/3/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1932209608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 636324",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636324",
            "telephone_number": "859-344-5555",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MEDICAL VILLAGE DRIVE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173439",
            "telephone_number": "859-287-3045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5398 Park St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337091041",
            "country_code": "US",
            "telephone_number": "727-544-1441 x150",
            "fax_number": "727-545-8263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "60632",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME112042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101060720",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004600100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2632771",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.