DR. SIVA SURYADEVARA M.D.
NPI 1235283292
Internal Medicine - Interventional Cardiology in Palatka, FL

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
205 ZEAGLER DR STE 101, PALATKA, FL 32177(386) 325-2836(386) 326-2736 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2026, Jun 17, 2025 (2 updates tracked since 2025).

About Dr. Siva Suryadevara M.d. NPPES

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

DR. SIVA SURYADEVARA M.D. (NPI 1235283292) is an individual interventional cardiology provider in Palatka, Florida, licensed in Florida (ME116319) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Orange Park Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235283292
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. SIVA SURYADEVARACredential: M.D.
Location Address205 ZEAGLER DR STE 101Palatka, FL 32177-3860
Mailing AddressPo Box 919932Orlando, FL 32891-9932 · (904) 493-3333 · Fax (904) 493-2222
Fax(386) 326-2736
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1235283292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in FL · ME116319✔ Licensed in WI · 13556
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME116319 (FL)
205 ZEAGLER DR STE 101, Palatka, FL 32177

Secondary Practice Locations 3

Location 11465 Kingsley AveOrange Park, FL 32073-4504 · Phone (904) 644-0092 · Fax (904) 644-0099
Location 27011 A C Skinner Pkwy Ste 160Jacksonville, FL 32256-6953 · Phone (904) 493-3333 · Fax (904) 493-2222
Location 33400 Ministry PkwyWeston, WI 54476-5213 · Phone (715) 393-1000

Other Identifiers 3

Other14Q8KFL · Bcbs
Medicaid003135084AGA
Medicaid008906600FL

Accepted 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

Dr. Siva Suryadevara 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 ID2961644521
PECOS Enrollment IDI20130809000554, I20200127002521
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

9

Medicare enrollment records show Siva Suryadevara reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
7011 A C SKINNER PKWY, SUITE 160
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida and Georgia enrollments
  • Also billed through NPI 1144276452 (Georgia)
  • 1,456 clinicians in this Medicare group
Surgery
612 WEST GORDON STREET, SUITE E
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 36 clinicians in this Medicare group
Family Medicine
420 W NORTH ST
Juneau, WI 53039
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,440 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group

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 15

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
449 services398 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
328 services301 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
106 services105 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
103 services99 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services73 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.
82 services69 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100232
Location611 Zeagler DrPalatka, FL 32177 · Putnam County
Emergency services

Upson Regional Medical Center

Acute Care Hospitals · Thomaston, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110002
Location801 W Gordon StreetThomaston, GA 30286 · Upson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32177 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
205 ZEAGLER DR STE 101
PALATKA, FL 32177
Nurse Practitioner
205 ZEAGLER DR STE 101
PALATKA, FL 32177
Nurse Practitioner (Family)
205 ZEAGLER DR STE 101
PALATKA, FL 32177
Internal Medicine (Clinical Cardiac Electrophysiology)
205 ZEAGLER DR STE 101
PALATKA, FL 32177

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 Siva Suryadevara's NPI number?

The NPI number for Siva Suryadevara is 1235283292. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Siva Suryadevara located?

Siva Suryadevara practices at 205 Zeagler Dr Ste 101, Palatka, FL 32177. The listed phone number is (386) 325-2836.

What is Siva Suryadevara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Siva Suryadevara enrolled in Medicare?

Yes. Siva Suryadevara 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 Siva Suryadevara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siva Suryadevara reassigns Medicare benefits to 9 organizations: First Coast Cardiovascular Institute, LLC (Jacksonville, FL), University Of Florida Jacksonville Physicians Inc (Jacksonville, FL), Upson Surgical Associates, LLC (Thomaston, GA), Beaver Dam Community Hospitals Inc (Juneau, WI), Mchs Hospitals, Inc. (Plover, WI) and 4 more organizations, 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 Siva Suryadevara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Siva Suryadevara accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Anthem Blue Cross and Blue Shield, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Siva Suryadevara 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 Siva Suryadevara affiliated with any hospitals?

According to CMS data, Siva Suryadevara is affiliated with Hca Florida Orange Park Hospital, Hca Florida Putnam Hospital and Upson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Siva Suryadevara was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.