Individual provider Active NPI

Erol Jahja, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bradenton, FL
National Provider Identifier
1033565684
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS15880 Issued in FL
Practice address
100 3Rd Ave W Ste 110
Bradenton, FL 34205-8641
Phone
(941) 708-9555
Fax
(941) 708-5465
NPI assigned
May 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS15880 FL Primary

Addresses

Primary practice location

100 3Rd Ave W Ste 110
Bradenton, FL 34205-8641

Mailing address

100 3Rd Ave W Ste 110
Bradenton, FL 34205-8641
Phone (941) 708-9555

Other practice location 1

2540 S Tamiami Trl
Sarasota, FL 34239-4501
Phone (941) 708-9555

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
I20230629002063 FL Practitioner - Pain Management 8224307194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Pain Physicians of Florida, PAGroup PAC ID 7911804687, 25 clinicians

Practice addresses (Care Compare)

100 3Rd Ave W
Suite 110
Bradenton, FL 34205-8641
Phone 9417059555110

National Provider Directory

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

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
National Health Rehabilitation LLC CurrentSince Dec 24, 2024 Accepting new patients
Anesthesia and Pain Physicians of Florida, PA CurrentSince Jul 1, 2023 Accepting new patients
Independent Anesthesiologists, PLLC Past Accepting new patients

Locations

100 3rd Ave W
Ste 110
Bradenton, FL 34205
Phone (941) 705-9555

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

1524 S East Ave
Sarasota, FL 34239
Phone (800) 408-7008

2540 Tamiami Trl
Sarasota, FL 34239
Phone (941) 365-1211

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1033565684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD AVE W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058641",
            "telephone_number": "941-708-9555",
            "fax_number": "941-708-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 3RD AVE W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058641",
            "telephone_number": "941-708-9555",
            "fax_number": "941-708-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342394501",
            "country_code": "US",
            "telephone_number": "941-708-9555",
            "fax_number": "941-708-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHJA",
        "first_name": "EROL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS15880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.