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SANKARABHARAN KANIKIREDDY M.D.
NPI 1225249592
Internal Medicine in South Miami, FL

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment
6200 SW 72ND ST, BOX # 69, SOUTH MIAMI, FL 33143(786) 662-5465(786) 662-5334 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2017, Nov 7, 2016 (2 updates tracked since 2016).

About Sankarabharan Kanikireddy M.d. NPPES

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

SANKARABHARAN KANIKIREDDY M.D. (NPI 1225249592) is an individual internal medicine provider in South Miami, Florida, licensed in Florida (ME109070) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1225249592
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANKARABHARAN KANIKIREDDYCredential: M.D.
Location Address6200 SW 72ND ST, BOX # 69South Miami, FL 33143-4828
Mailing Address6200 Sw 72 Street, Box 69Miami, FL 33143-4679 · (786) 662-5465 · Fax (786) 662-5334
Phone(786) 662-5465
Fax(786) 662-5334
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 25, 2007
Last NPPES UpdateJanuary 13, 20172 updates tracked since enumeration
✔ NPI 1225249592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME109070
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6200 SW 72ND ST, South Miami, FL 33143
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Other Identifiers 4

Other14ET4FL · Bcbs
Medicare OSCAR/certificationFH064ZFL
Medicaid50973LA
Medicaid003791600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sankarabharan Kanikireddy M.d. 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 ID7113197583
PECOS Enrollment IDI20110823000777, I20250114000054
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Sankarabharan Kanikireddy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Miami Inpatient Physicians
0.1 mi
Internal Medicine
6200 SW 73RD ST, BOX 69
South Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
  • 92 clinicians in this Medicare group
NPI 1346313194 (786) 662-5465
Lonestar Pat Associates PA
1,113 mi
Hospitalist
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 206 clinicians in this Medicare group
NPI 1811594203 (512) 341-1000
Lonestar Hospital Medicine Associates, PA
1,119 mi
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
NPI 1518237429 (682) 622-2000
Texas Post Acute Care PLLC
1,122 mi
Hospitalist
741 GENERATIONS DR STE 205
New Braunfels, TX 78130
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1700747573 (737) 405-1520
Ipc Healthcare Services Of Texas, PLLC
1,146 mi
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
NPI 1023403011 (210) 344-7287
First Docs PC
1,193 mi
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 clinicians in this Medicare group
NPI 1417655465 (702) 762-2485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
182 services131 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
179 services174 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services103 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
100 services66 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
50 services49 patients

Hospital Affiliations CMS Care Compare 4

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

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers41 claims41 services$15.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers41 claims41 services$76.64 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers11 claims11 services$10.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

HERNIA INSTITUTE OF FLORIDA INC
Surgery
6200 SW 72ND ST, SUITE 501
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 667-7878
DR. VIVIEN S FONGUE FONGUE D.O
Orthopaedic Surgery
6200 SW 72ND ST, SUITE 602
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-0600
JESSICA LEE ORDONEZ MS, CGC
Genetic Counselor, MS
6200 SW 72ND ST, SUITE 302
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-4757
CARLOS UCETA ATC
Specialist/Technologist (Athletic Trainer)
6200 SW 72ND ST, 601
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-0600
MR. NICHOLAS CAMEJO A.R.N.P
Nurse Practitioner
6200 SW 72ND ST
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 271-9777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sankarabharan Kanikireddy's NPI number?

The NPI number for Sankarabharan Kanikireddy is 1225249592. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Sankarabharan Kanikireddy located?

Sankarabharan Kanikireddy practices at 6200 SW 72nd St Box # 69, South Miami, FL 33143. The listed phone number is (786) 662-5465.

What is Sankarabharan Kanikireddy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sankarabharan Kanikireddy enrolled in Medicare?

Yes. Sankarabharan Kanikireddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sankarabharan Kanikireddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sankarabharan Kanikireddy reassigns Medicare benefits to 6 organizations: South Miami Inpatient Physicians (South Miami, FL), Lonestar Pat Associates PA (Round Rock, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX), Texas Post Acute Care PLLC (New Braunfels, TX), Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sankarabharan Kanikireddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sankarabharan Kanikireddy accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Sankarabharan Kanikireddy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sankarabharan Kanikireddy affiliated with any hospitals?

According to CMS data, Sankarabharan Kanikireddy is affiliated with South Miami Hospital, St David's Medical Center, St David's South Austin Medical Center and Round Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Sankarabharan Kanikireddy was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.