Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Komandoor Srivathsan, MD

Individual provider Cardiovascular Disease Physician · NPI 1316920242

Dr. Komandoor Srivathsan, MD is a Cardiac Electrophysiology in Phoenix, Arizona. Qualified in 1982, 44 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
44
Licensed in
AZ
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 24301 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 24301 (AZ)

Record details

NPI number1316920242
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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