Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIBI KRISHNA THIYAGARAJAN
NPI 1194669762
Surgery in Jacksonville, FL

Q: What is Sibi Krishna Thiyagarajan's NPI number?

The NPI number for Sibi Krishna Thiyagarajan is 1194669762. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Q: What is Sibi Krishna Thiyagarajan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 15, 2026PECOS Enrolled

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: September 19, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 19, 2026, Apr 27, 2026, Apr 15, 2026 (3 updates tracked since 2026).

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About Sibi Krishna Thiyagarajan NPPES

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

SIBI KRISHNA THIYAGARAJAN (NPI 1194669762) is an individual surgery provider in Jacksonville, Florida, licensed in Florida (TRN45398) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194669762

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameSIBI KRISHNA THIYAGARAJAN

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateApril 15, 2026

Last NPPES UpdateSeptember 19, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2026

✔ NPI 1194669762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · TRN45398

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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 (PECOS)

Sibi Krishna Thiyagarajan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

KATHERINE L WALSH PA-C/MPH

Physician Assistant