DR. AMBIHAI KUMARAN SINNADURAI MD
NPI 1609189539
Hospitalist in Jacksonville, FL

Q: What is Ambihai Sinnadurai's NPI number?

The NPI number for Ambihai Sinnadurai is 1609189539. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Q: What is Ambihai Sinnadurai's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment

91.62/100

CMS Quality Rating

820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207(904) 202-3860(904) 202-3846 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Ambihai Kumaran Sinnadurai Md NPPES

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

DR. AMBIHAI KUMARAN SINNADURAI MD (NPI 1609189539) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (ME130447) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1609189539

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. AMBIHAI KUMARAN SINNADURAICredential: MD

Location Address820 PRUDENTIAL DR STE 304Jacksonville, FL 32207-8205

Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107

Phone(904) 202-3860

Fax(904) 202-3846

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 20, 2010

Last NPPES UpdateJanuary 3, 2019

✔ NPI 1609189539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in FL · ME130447

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME130447 (FL)

820 PRUDENTIAL DR STE 304, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Dr. Ambihai Kumaran Sinnadurai Md 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 ID3274786660

PECOS Enrollment IDI20171229002282

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 2

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.

Follow-up hospital inpatient care per day, typically 25 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.

86 services75 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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.

91.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.61

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

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

1 supplier13 claims13 services$67.13 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 20

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

DR. SHASHI CHETAN MD

Internal Medicine