Individual provider Active NPI

Prabhav K Tella, MD, MPH

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Orlando, FL
National Provider Identifier
1013942358
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME144162 Issued in FL
Practice address
7243 Della Dr FL 3
Orlando, FL 32819-5104
Phone
(321) 841-1570
Fax
(321) 841-1569
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X M6482 TX
Internal Medicine Physician 207R00000X 227336 MA
Interventional Pain Medicine Physician 208VP0014X ME144162 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME144162 FL Primary

Addresses

Primary practice location

7243 Della Dr FL 3
Orlando, FL 32819-5104

Mailing address

7243 Della Dr FL 3
Orlando, FL 32819-5104
Phone (321) 841-1570

Other identifiers 2

IdentifierTypeStateIssuer
187111301MedicaidTX
117107000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710002512 FL Practitioner - Interventional Pain Management 6608961230 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 841-7550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M6482TXMDPain Medicine (Anesthesiology) Physician
227336MAMDInternal Medicine Physician
ME144162FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Jul 1, 2020 Accepting new patients
National Surgical Centers of America LLC CurrentSince Jul 1, 2020 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Interventional Pain Medicine CurrentSince Jul 1, 2020 Accepting new patients
National Surgical Centers of America LLC CurrentSince Jul 1, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2023 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
National Surgical Centers of America LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

7243 Della Dr
Fl 3
Orlando, FL 32819
Phone (407) 370-8705

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179

89 W Copeland Dr
Orlando, FL 32806
Phone (407) 237-6333

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

Networks

  • FL HMO
  • FL PPO
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1013942358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7243 DELLA DR FL 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195104",
            "telephone_number": "321-841-1570",
            "fax_number": "321-841-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7243 DELLA DR FL 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195104",
            "telephone_number": "321-841-1570",
            "fax_number": "321-841-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLA",
        "first_name": "PRABHAV",
        "middle_name": "K",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M6482",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "227336",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME144162",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME144162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187111301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117107000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.