Vidur Pravin Ghantiwala, DO

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

OS18179 Issued in FL

Practice address

4513 Executive Dr
Naples, FL 34119-9033

Phone

(239) 591-2803

NPI assigned

Feb 16, 2018

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

West Virginia School of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Korunda Medical, LLCGroup PAC ID 5092895334, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Port Charlotte, FL, CCN 107547
• Naples Community Hospital Hospital, Naples, FL, CCN 100018
• Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Korunda Medical, LLC

  • Interventional Pain Medicine Physician
  • Naples, FL
  • NPI 1609056282
  Medicare reassignment Care Compare group NPD
• Coastal Anesthesia & Pain Associates, PLLC

  • Certified Registered Nurse Anesthetist
  • Naples, FL
  • NPI 1144918970
  NPD (past)
• North Naples Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
  • NPI 1427641679
  NPD (past)

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

• Naples Community Hospital Inc

  dba NCH Healthcare System Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation
• Naples Hma LLC

  dba Physicians Regiona Medical Center-Collier

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1215003348
  Care Compare affiliation
• Naples Hma LLC

  dba Physicians Regional Medical Center-Pine Ridge

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1316992134
  Care Compare affiliation
• Senior Home Care, Inc.

  dba Centerwell Home Health

  • Home Health Agency
  • Port Charlotte, FL
  • NPI 1194776138
  Care Compare affiliation

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1043710981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 EXECUTIVE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199033",
            "telephone_number": "239-591-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 EXECUTIVE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199033",
            "telephone_number": "239-591-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANTIWALA",
        "first_name": "VIDUR",
        "middle_name": "PRAVIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS18179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonkeya German
• Jennifer Gerth, PHYSICIAN ASSISTANT
• Jenna Getman
• GH Ultrasound & Imaging LLC
• Dima Ghandour, DMD
• Fariba Ghazizadeh, MD
• Melissa Ghirimoldi, MS, RMHCI
• Thomas Giannina, D.M.D.
• Nicholas Giaramita, DPT
• Allister G Gibbons Fell, M.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Naples, FL
• Providers in Naples, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.