SRAVAN K THANGEDA (MD) – Internal Medicine Physician, NPI 1487876439

SRAVAN K THANGEDA (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. ME122293 (FL). The NPI Number for SRAVAN K THANGEDA (MD) is 1487876439

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SRAVAN K THANGEDA (MD)
NPI
1487876439
Phone
(904) 839-1263
Address
10991 SAN JOSE BLVD # 100
Enumeration Date
2 May 2007
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048391263
Graduation Year
2000 (26 years ago)
PAC ID
5294818928
Group Practice PAC ID
5698206167
Professional Enrollment ID
I20151030001749
Address ID
FL322236675JA10991BLVD401
Telehealth
Yes

Contacts

Secure Messaging
sravan.thangeda.1@29601.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:19State licenses:1Other names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for SRAVAN K THANGEDA (MD)

  • 10991 SAN JOSE BLVD # 100

    JACKSONVILLE, FL 322236675

    Phone: (904) 839-1263

    Fax: (904) 656-7306

    Type: Location

  • 38135, Market Square, Zephyrhills, Pasco County, Florida, 33542, United States

    ZEPHYRHILLS, FL 335427505

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20151030001749IInternal MedicineFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2011$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 32223)

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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: 5698206167View full group profile
NameSpecialtyState
General PracticePR
Nurse PractitionerNY
Nurse PractitionerPA
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerKY

Reviews

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Frequently asked questions

Does SRAVAN K THANGEDA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SRAVAN K THANGEDA (MD) uses 1487876439.
Is SRAVAN K THANGEDA (MD) listed as active for patients and plans?
The listing shows SRAVAN K THANGEDA (MD) as active in the NPI system.
What taxonomy line describes SRAVAN K THANGEDA (MD)?
For research purposes, treat SRAVAN K THANGEDA (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is SRAVAN K THANGEDA (MD) based?
SRAVAN K THANGEDA (MD) is tied to Jacksonville, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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