SIDDHARTH SARANGI MBBS
NPI 1104106608
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Q: What is Siddharth Sarangi's NPI number?

The NPI number for Siddharth Sarangi is 1104106608. It was assigned to this individual provider in the NPPES registry on August 29, 2011.

Q: What is Siddharth Sarangi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Siddharth Sarangi was last updated on November 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2011PECOS EnrolledAccepts Medicare Assignment

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(507) 316-3588 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Siddharth Sarangi Mbbs NPPES

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

SIDDHARTH SARANGI MBBS (NPI 1104106608) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1104106608

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSIDDHARTH SARANGICredential: MBBS

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (507) 316-3588

Phone(507) 316-3588

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateAugust 29, 2011

Last NPPES UpdateNovember 11, 2014

✔ NPI 1104106608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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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

Siddharth Sarangi Mbbs 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 ID5890931638

PECOS Enrollment IDI20210910001110

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

113 services113 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

74 services74 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

67 services61 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

38 services38 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

36 services36 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140001

Location210 West Walnut StreetCanton, IL 61520 · Fulton County

Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140064

Location3333 North SeminaryGalesburg, IL 61401 · Knox County

Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140110

Location1100 E Norris DriveOttawa, IL 61350 · La Salle County

Emergency services Birthing friendly

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141309

Location101 S Major StEureka, IL 61530 · Woodford County

Emergency services

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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.

KATHERINE L WALSH PA-C/MPH

Physician Assistant