SIRPA T. AUTIO (MD) – Family Medicine Physician, NPI 1134158405
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SIRPA T. AUTIO (MD)
3405 Courtyard Way
St Augustine, FL 320865089
Phone: (386) 871-4371
Fax: (386) 586-4286
Type: Location
Palm Coast, Flagler County, Florida, United States
SUITE 120
PALM COAST, FL 321642452
Phone: (386) 586-4280
Fax: (386) 586-4286
Type: Mailing
Hogar Comunitario Mi Bello Mundo, Carrera 21H, Dulce Nombre, Corozal, Sabanas, Sucre, Caribe, Colombia
DULCE, NM 875280187
Phone: (575) 759-3291
Fax: (575) 759-3532
Type: Location
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: 2022-11-08
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151026002601 | I | Family Practice | TX | TBD |
| I20221108001620 | I | Family Practice | GA | TBD |
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.
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 32086)
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