Active NPI
Sridhara Sastry, MD
- Pediatric Critical Care Medicine Physician
- Tampa, FL
National Provider Identifier
1982707196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- ME46263
- Practice address
- 5003 E Longboat Blvd
Tampa, FL 33615-4229 - Phone
- (813) 855-7884
- Fax
- (813) 854-4132
- NPI assigned
- Sep 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME46263 | FL | Primary |
Addresses
Primary practice location
5003 E Longboat Blvd
Tampa, FL 33615-4229
Mailing address
PO Box 21727
Tampa, FL 33622-1727
Phone (727) 823-2188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045861900 | Medicaid | FL | |
| 03864 | Other | FL | BCBS OF FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1982707196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21727",
"city": "TAMPA",
"state": "FL",
"postal_code": "336221727",
"telephone_number": "727-823-2188",
"fax_number": "727-828-0723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5003 E LONGBOAT BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154229",
"telephone_number": "813-855-7884",
"fax_number": "813-854-4132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASTRY",
"first_name": "SRIDHARA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME46263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045861900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "03864",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.