SRIKANTH ADIDAM VENKATA MD
NPI 1508438722
Psychiatry & Neurology - Neurology in Jacksonville, FL

Q: What is Srikanth Adidam Venkata's NPI number?

The NPI number for Srikanth Adidam Venkata is 1508438722. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Q: What is Srikanth Adidam Venkata's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since July 15, 2021PECOS Enrolled

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

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2025, Jul 15, 2021 (2 updates tracked since 2021).

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About Srikanth Adidam Venkata Md NPPES

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

SRIKANTH ADIDAM VENKATA MD (NPI 1508438722) is an individual neurology provider in Jacksonville, Florida, licensed in Florida (ME173489) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1508438722

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameSRIKANTH ADIDAM VENKATACredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address1 Brookdale PlzBrooklyn, NY 11212-3139 · (718) 240-5000

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateJuly 15, 2021

Last NPPES UpdateApril 17, 20252 updates tracked since enumeration

NPPES CertifiedApril 17, 2025

✔ NPI 1508438722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in FL · ME173489

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 11 Brookdale PlzBrooklyn, NY 11212-3139 · Phone (718) 240-5000

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).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Srikanth Adidam Venkata Md 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

$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.

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