SIREESHA DATLA (MD) – Medical Oncology Physician, NPI 1275819526

SIREESHA DATLA (MD) is a healthcare provider. based in St petersburg, Florida. specializing in MEDICAL ONCOLOGY, HEMATOLOGY. They hold the professional credentials MD. They hold a License No. ME161713 (FL). The NPI Number for SIREESHA DATLA (MD) is 1275819526

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
SIREESHA DATLA (MD)
NPI
1275819526
Phone
(727) 522-0558
Address
5767 49th St N Ste B
Enumeration Date
1 November 2011
Last Update Date
8 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275220558
Graduation Year
2006 (20 years ago)
PAC ID
4789859018
Group Practice PAC ID
2567356058
Professional Enrollment ID
I20230525001713
Address ID
FL337092106ST5767XNXXX401

Contacts

Secure Messaging
sireesha.datla@bannerhealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness95
Years active:14State licenses:3Other names

377 MEDICAL ONCOLOGY in FL

Provider Addresses for SIREESHA DATLA (MD)

  • 5767 49th St N Ste B

    St Petersburg, FL 337092106

    Phone: (727) 522-0558

    Fax: (727) 521-3605

    Type: Location

  • 1615 Pasadena Ave S Ste 400

    South Pasadena, FL 337074567

    Phone: (727) 341-1316

    Fax: (727) 345-4000

    Type: Location

  • 450 Clarkson Ave # 1262

    Brooklyn, NY 112032012

    Phone: (917) 291-1875

    Type: Location

  • 1201 5TH AVE N STE 505

    ST PETERSBURG, FL 337051455

    Phone: (727) 821-0017

    Fax: (727) 822-7473

    Type: Location

  • PO BOX 102222

    ATLANTA, GA 303682222

    Phone: (239) 274-8200

    Type: Mailing

  • 13188 N 103RD DR STE 201

    SUN CITY, AZ 853513066

    Phone: (804) 409-5514

    Type: Mailing

  • 13188 N 103rd Dr Ste 201

    Sun City, AZ 853513066

    Phone: (804) 409-5514

    Type: Location

  • 725 6TH AVE S STE 2200

    ST PETERSBURG, FL 337014553

    Phone: (727) 821-0017

    Fax: (727) 822-7473

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 147 Open Payments records for all available years, with a total value of $3,409.

Total Amount is formed as General ($3,409) + Research ($0) + Ownership ($0) = $3,409.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($300).

Total Amount

$3,409

General + Research + Ownership

Payments

147

Total payment records

General Amount

$3,409

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2023-08-08

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
I20230525001713IMedical OncologyFLTBD
I20230808003155IHematology/OncologyMTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9571$0
99205New patient office or other outpatient visit, 60-74 minutes2929$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2613$0
36415Insertion of needle into vein for collection of blood sample2214$0
99215Established patient office or other outpatient visit, 40-54 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 33709)

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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: 2567356058View full group profile
NameSpecialtyState
Medical OncologyFL
Medical Oncology, Hematology/OncologyFL
H E M A T O L O G Y/ O N C O L O G YFL
H E M A T O L O G Y/ O N C O L O G YFL
Internal Medicine, Hematology/OncologyFL
-GA
Hematology/Oncology, Internal MedicineGA
H E M A T O L O G Y/ O N C O L O G YFL
Hospice/Palliative Care, Internal MedicineFL
H E M A T O L O G Y/ O N C O L O G YGA

Reviews

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Frequently asked questions

What federal number belongs to SIREESHA DATLA (MD)?
The federal identifier for SIREESHA DATLA (MD) is NPI 1275819526.
Is SIREESHA DATLA (MD)'s NPI currently valid?
The extract we use shows SIREESHA DATLA (MD) as active.
Does SIREESHA DATLA (MD) list a primary specialty?
If you are matching referrals, note Medical Oncology Physician for SIREESHA DATLA (MD). Clinical services aligned with this taxonomy classification.
What location shows for SIREESHA DATLA (MD)?
We surface St Petersburg, Florida for SIREESHA DATLA (MD) based on available NPPES addresses.
What if St Petersburg, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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