Organization Active NPI

Dearborn Dreams Anesthesia LLC

  • Anesthesiology Physician
  • New Port Richey, FL
National Provider Identifier
1093958035
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DEARBORN DREAMS ANESTHESIA LLC
Practice address
5515 Gulf Dr
Ste B
New Port Richey, FL 34652-4033
Phone
(727) 843-9200
Fax
(727) 843-9400
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Sreenivas P. Vangara, MDNPI 1497755771
Title
Authorized Official
Phone
(727) 843-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

5515 Gulf Dr
Ste B
New Port Richey, FL 34652-4033

Mailing address

6094 14TH St W
Ste 128
Bradenton, FL 34207-4104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100524000247 FL Part B Supplier - Clinic/Group Practice 4183753577 Receives reassigned benefits from 5 practitioners
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

6094 14th St W
Ste 128
Bradenton, FL 34207

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1093958035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 14TH ST W",
            "address_2": "STE 128",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 GULF DR",
            "address_2": "STE B",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524033",
            "telephone_number": "727-843-9200",
            "fax_number": "727-843-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN DREAMS ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "VANGARA",
        "authorized_official_first_name": "SREENIVAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "727-843-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.