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KRISHNA M SIKARIA M.D.
NPI 1366465783
Internal Medicine - Cardiovascular Disease in Saint Augustine, FL

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
301 HEALTH PARK BLVD, STE # 329, SAINT AUGUSTINE, FL 32086(904) 825-4333 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Krishna M Sikaria M.d. NPPES

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

KRISHNA M SIKARIA M.D. (NPI 1366465783) is an individual cardiovascular disease provider in Saint Augustine, Florida, licensed in Florida (ME0064435) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1366465783
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKRISHNA M SIKARIACredential: M.D.
Location Address301 HEALTH PARK BLVD, STE # 329Saint Augustine, FL 32086-5793
Mailing Address238 Fiddlers Point DrSaint Augustine, FL 32080-6133 · (904) 825-4333
Phone(904) 825-4333
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366465783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME0064435
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

301 HEALTH PARK BLVD, Saint Augustine, FL 32086
Open in Google Maps ↗

Other Identifiers 5

Medicaid375418900FL
Other25436FL · Fl Blue Cross Blue Shield
Medicare UPINF57000FL
Other060052505FL · Railroad Medicare
Medicare ID-Type Unspecified25436AFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and more.Insurance ›

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

Krishna M Sikaria 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 ID6709070634
PECOS Enrollment IDI20101104000342
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 13

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.

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.
785 services220 patients
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.
362 services216 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.
172 services168 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
152 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services61 patients
Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502
Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
66 services33 patients

Hospital Affiliations CMS Care Compare

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$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.

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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.35
Promoting Interoperability88.33
Improvement Activities40

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
56%132 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%2,931 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
75%3,010 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
9%480 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%241 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%844 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%843 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 96% · 714 patients
96%714 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
57%844 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
12%844 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 673 patients
0%673 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MICHAEL CLORE SANDERS MD
Family Medicine
301 HEALTH PARK BLVD, SUITE 327
ST AUGUSTINE, FL 32086
St. Johns County (904) 825-3606
VIJAYSELWYN DAVIS DHAS MD
Obstetrics & Gynecology
301 HEALTH PARK BLVD, STE 219
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-9444
COASTAL AESTHETIC CENTER PA
Surgery (Plastic and Reconstructive Surgery)
301 HEALTH PARK BLVD, STE 109
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 245-1320
LEOPOLDO B GONZALEZ MD
Specialist
301 HEALTH PARK BLVD, ANDERSON GIBBS BLDG., SUITE 221
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-4277
TAWHID SIMON HOSSAIN MD
Ophthalmology
301 HEALTH PARK BLVD, SUITE 215
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-3394
T S HOSSAIN MD PA
Clinic/Center (Ophthalmologic Surgery)
301 HEALTH PARK BLVD, SUITE #215
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-3394
LEOPOLDO B GONZALEZ MD PA
Surgery
301 HEALTH PARK BLVD, SUITE 323
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-4277
BADRI N MEHROTRA MD PA
Internal Medicine
301 HEALTH PARK BLVD, SUITE 219
ST. AUGUSTINE, FL 32086
St. Johns County (904) 824-9044

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 Krishna Sikaria's NPI number?

The NPI number for Krishna Sikaria is 1366465783. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Krishna Sikaria located?

Krishna Sikaria practices at 301 Health Park Blvd Ste # 329, Saint Augustine, FL 32086. The listed phone number is (904) 825-4333.

What is Krishna Sikaria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Krishna Sikaria enrolled in Medicare?

Yes. Krishna Sikaria 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.

What insurance does Krishna Sikaria accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and UnitedHealthcare list Krishna Sikaria 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 Krishna Sikaria affiliated with any hospitals?

According to CMS data, Krishna Sikaria is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Krishna Sikaria was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.