Individual provider Active NPI

Anjan K Ghosh, M.D.

  • Interventional Pain Medicine Physician
  • Trinity, FL
National Provider Identifier
1124089354
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME77629 Issued in FL
Practice address
8146 Cerebellum Way Ste 102
Trinity, FL 34655-1786
Phone
(727) 264-8865
Fax
(855) 801-6125
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME77629 FL Primary

Addresses

Primary practice location

8146 Cerebellum Way Ste 102
Trinity, FL 34655-1786

Mailing address

8146 Cerebellum Way Ste 102
Trinity, FL 34655-1786
Phone (727) 264-8865

Other identifiers 2

IdentifierTypeStateIssuer
QC118OtherFLMEDICARE
1124089354OtherFLNPI

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
I20041026001180 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 4789645375 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
New York Medical College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Pain Center LLC 2 clinicians

Practice addresses (Care Compare)

8146 Cerebellum Way
Suite 102
Trinity, FL 34655-1786
Phone (727) 264-8865

Hospital & facility affiliations

  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77629FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Mar 1, 2021 Accepting new patients
Charlotte Pain Management Center Inc CurrentSince Nov 1, 2013 Accepting new patients
National Surgical Centers of America LLC CurrentSince Mar 1, 2021 Accepting new patients
National Surgical Centers of America LLC CurrentSince Mar 1, 2021 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Interventional Pain Medicine CurrentSince Mar 1, 2021 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Interventional Pain Medicine Current Accepting new patients
National Surgical Centers of America LLC CurrentSince Mar 1, 2021 Accepting new patients
Trinity Pain Center LLC Interventional Pain Medicine CurrentSince Nov 18, 2022 Accepting new patients
West Coast Anesthesiology Associates Pain Medicine PastSince Aug 1, 2006 Accepting new patients
Meridian Pain and Diagnostics Interventional Pain Medicine Past Accepting new patients

Locations

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

1930 NE 47th St
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 493-5048

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

3109 Tamiami Trl
Ste 3
Pt Charlotte, FL 33952
Phone (941) 629-3000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

8146 Cerebellum Way
Ste 102
Trinity, FL 34655
Phone (727) 264-8865

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFACBD/Endpoint/FFACBD
  • FHIR API: https://api.platform.athenahealth.com/3611/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: anjan.ghosh.p2@direct.painreliefcenters.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1124089354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8146 CEREBELLUM WAY STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551786",
            "telephone_number": "727-264-8865",
            "fax_number": "855-801-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8146 CEREBELLUM WAY STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551786",
            "telephone_number": "727-264-8865",
            "fax_number": "855-801-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "ANJAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME77629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "QC118",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124089354",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.