Individual provider Active NPI

Anthony Isenalumhe Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Spring Hill, FL
National Provider Identifier
1063658995
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME123669 Issued in FL
Practice address
13141 Spring Hill Dr
Spring Hill, FL 34609-5016
Phone
(352) 515-0025
Fax
(813) 406-4691
NPI assigned
Dec 23, 2008
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 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 (Anesthesiology) Physician 207LP2900X ME123669 FL Primary

Addresses

Primary practice location

13141 Spring Hill Dr
Spring Hill, FL 34609-5016

Mailing address

PO Box 20494
Tampa, FL 33622-0494
Phone (352) 515-0025

Other identifiers 1

IdentifierTypeStateIssuer
LYNG3OtherFLBLUE CROSS BLUE SHIELD

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
I20151006002518 FL Practitioner - Anesthesiology 3971747189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Pain Specialists PAGroup PAC ID 9739413774, 3 clinicians

Practice addresses (Care Compare)

13141 Spring Hill Dr
Spring Hill, FL 34609-5016
Phone (352) 515-0025

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Pain Specialists PA Anesthesiology CurrentSince May 28, 2019 Accepting new patients
Tampa General Hospital Current Accepting new patients
Elite Pain Specialists PA Pain Medicine CurrentSince May 6, 2019 Accepting new patients

Locations

17807 Hunting Bow Cir
Ste 101
Lutz, FL 33558
Phone (813) 388-9922

11151 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 610-4408

13141 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 515-0025

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aisenalumhe296083@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIEECD/Endpoint/CIEECD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1063658995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20494",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220494",
            "telephone_number": "352-515-0025",
            "fax_number": "352-515-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13141 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095016",
            "telephone_number": "352-515-0025",
            "fax_number": "813-406-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENALUMHE",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-23",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME123669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LYNG3",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.