SANDEEP RAJA SASIDHARAN MD
NPI 1083268387
Internal Medicine - Critical Care Medicine in Jacksonville, FL

Q: What is Sandeep Sasidharan's NPI number?

The NPI number for Sandeep Sasidharan is 1083268387. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Q: What is Sandeep Sasidharan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Active since July 25, 2019PECOS EnrolledAccepts Medicare Assignment

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-4075(904) 244-5047 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, Jul 25, 2019 (2 updates tracked since 2019).

On this page

About Sandeep Raja Sasidharan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDEEP RAJA SASIDHARAN MD (NPI 1083268387) is an individual critical care medicine provider in Jacksonville, Florida, licensed in Florida (ME173180) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1083268387

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameSANDEEP RAJA SASIDHARANCredential: MD

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 244-4075 · Fax (904) 244-5047

Phone(904) 244-4075

Fax(904) 244-5047

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 25, 2019

Last NPPES UpdateApril 1, 20252 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1083268387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in FL · ME173180

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

655 W 8TH ST, Jacksonville, FL 32209

Open in Google Maps ↗

Secondary Practice Location 1

Location 1123 Summer StWorcester, MA 01608-1216 · Phone (508) 363-6208

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandeep Raja Sasidharan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799292009

PECOS Enrollment IDI20250730001475

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology