MR. SRINIVASA SRIDHAR (MD) – Orthopaedic Surgery Physician, NPI 1134112592

MR. SRINIVASA SRIDHAR (MD) is a healthcare provider. based in Port orange, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. ME0027133 (FL). The NPI Number for MR. SRINIVASA SRIDHAR (MD) is 1134112592

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
MR. SRINIVASA SRIDHAR (MD)
NPI
1134112592
Phone
(386) 780-5008
Address
1400 DUNLAWTON AVE
Enumeration Date
31 August 2005
Last Update Date
26 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
81397897007646
Graduation Year
1971 (55 years ago)
PAC ID
6406048354
Group Practice PAC ID
4284532755
Professional Enrollment ID
I20101011000266
Address ID
FL327203282DE740XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for MR. SRINIVASA SRIDHAR (MD)

  • Dunlawton Avenue, Port Orange, Volusia County, Florida, 32127, United States

    SUITE 1A

    PORT ORANGE, FL 321278952

    Phone: (386) 780-5008

    Fax: (386) 760-0084

    Type: Mailing

  • 740 W PLYMOUTH AVE

    DELAND, FL 327203282

    Phone: (386) 734-9122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $678.

Total Amount is formed as General ($678) + Research ($0) + Ownership ($0) = $678.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Stryker Corporation ($678).

Total Amount

$678

General + Research + Ownership

Payments

13

Total payment records

General Amount

$678

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$678
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101011000266IOrthopedic SurgeryFLTBD
I20231222000260IOrthopedic SurgerySCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32127)

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Provider's Procedures

MR. SRINIVASA SRIDHAR (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL20610Aspiration and/or injection of large joint or joint capsule4628
ORTHOPEDIC SURGERYFL73562X-ray of knee, 3 views7249

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284532755View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeNY
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Nurse PractitionerFL
-FL
Occupational Therapist In Private PracticeFL
Orthopedic SurgeryFL
Nurse PractitionerFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is MR. SRINIVASA SRIDHAR (MD)'s NPI number?
MR. SRINIVASA SRIDHAR (MD)'s NPI is 1134112592 — the number used across U.S. healthcare to identify this provider.
Is MR. SRINIVASA SRIDHAR (MD) still an active registrant?
MR. SRINIVASA SRIDHAR (MD) carries an active NPI according to the public dataset.
How would a patient describe MR. SRINIVASA SRIDHAR (MD)'s focus?
For MR. SRINIVASA SRIDHAR (MD), the primary taxonomy reads as Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MR. SRINIVASA SRIDHAR (MD) located near Port Orange?
MR. SRINIVASA SRIDHAR (MD) currently maps to Port Orange, Florida in this extract.
Does MR. SRINIVASA SRIDHAR (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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