Sardha M Perera, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME83234 Issued in FL

Practice address

6333 54TH Ave N
St Petersburg, FL 33709-1703

Phone

(727) 548-6100

Fax

(727) 545-0960

NPI assigned

Mar 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Interventional Pain ManagementAlso: Anesthesiology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Medical Pain Management LLCGroup PAC ID 8224195235, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11884/brand/1/csg/1/fhir/r4

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.

• Florida Medical Pain Management LLC

  • Interventional Pain Medicine Physician
  • Saint Petersburg, FL
  • NPI 1588852776
  Medicare reassignment Care Compare group NPD
• Florida Specialty Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • St Petersburg, FL
  • NPI 1376748228

  Interventional Pain Medicine

  Medicare reassignment NPD
• Florida Pain Management

  • Interventional Pain Medicine Physician
  • St Petersburg, FL
  • NPI 1730288176
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1114995552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100",
            "fax_number": "727-545-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100",
            "fax_number": "727-545-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERERA",
        "first_name": "SARDHA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME83234",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME83234",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME83234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "13417",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "78636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trent Ryan Percy, DO
• Devin Perdue, D.C.
• Chaveliz Pereda Alfonso
• Juan Pereira, DO
• Rochelle Perera
• Yisel Perez Arner, RBT
• Yaiker Perez Dopico, FNP-C
• Eduardo A Perez Figueroa, PTA
• Mayelin Perez Reina, NP
• Fernando Andres Perez Toribio, MD

• Interventional Pain Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.