Teeresa Sisodia, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME73970 Issued in FL

Practice address

2623 McCormick Dr Ste 104
Clearwater, FL 33759-1046

Phone

(843) 725-9193

NPI assigned

Mar 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Specialty

Family Practice

Education

University of Miami, LM Miller School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4
• Direct secure messaging: teeresa.sisodia.2@34048.direct.athenahealth.com
• Direct secure messaging: teeresa.sisodia@1002300945661956.direct.elationemr.com

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.

• My Choice Primary Care, PLLC

  • Medical Specialty Clinic/Center
  • Clearwater, FL
  • NPI 1568323145
  NPD Authorized official
• Bowman & Hampsey Mdspa

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1215042858
  NPD (past)
• Florida Health Sciences Center Inc

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1235196510
  NPD (past)
• Rehab RX Corp

  • Rehabilitation Clinic/Center
  • Leesburg, FL
  • NPI 1265430003
  NPD (past)
• St Anthony'S Primary Care LLC

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1629029897
  NPD (past)
• Cogent Healthcare of South Carolina, PC

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1922045764

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1992772016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 303",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-725-6110",
            "fax_number": "727-669-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 MCCORMICK DR STE 104",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591046",
            "telephone_number": "843-725-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISODIA",
        "first_name": "TEERESA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME73970",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "29489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256778400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P00730114",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sirius Medical Supply
• Sirius Medical Supply
• Elizabeth Sirna
• Hannah Sisco, PA-C
• Kelly Sisco, LCSW
• Dinesh Keran Sivakolundu, M.B.B.S., PH.D.
• Melissa M Skaff-Schultz, ARNP
• Lorraine G Skalski
• Theophilos Skandaliaris, D.C.
• Marina Skane

• Family Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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; Opt Out Affidavits.
• 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.

Verify at the official NPI Registry.