Active NPI
Anjan K Ghosh, M.D.
- Interventional Pain Medicine Physician
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME77629
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QC118 | Other | FL | MEDICARE |
| 1124089354 | Other | FL | NPI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041026001180 | FL | Practitioner - Anesthesiology | 4789645375 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York Medical College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Pain Center LLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME77629 | FL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| Charlotte Pain Management Center Inc | Current | Accepting new patients | |
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Interventional Pain Medicine | Current | Accepting new patients |
| Florida Pain and Rehabilitation Associates Inc | Interventional Pain Medicine | Current | Accepting new patients |
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| Trinity Pain Center LLC | Interventional Pain Medicine | Current | Accepting new patients |
| West Coast Anesthesiology Associates | Pain Medicine | Past | 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
- https://fhir4.healow.com/fhir/r4/FFACBD/Endpoint/FFACBD
- https://api.platform.athenahealth.com/3611/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
- Interventional Pain Medicine Physician
- Trinity, FL
- NPI 1942525688
FL, Interventional Pain Medicine
-
- General Practice Physician
- Port Charlotte, FL
- NPI 1275797714
FL
-
- Ambulatory Surgical Clinic/Center
- Lady Lake, FL
- NPI 1063853174
FL
-
- Ambulatory Surgical Clinic/Center
- Winter Park, FL
- NPI 1770724122
FL
-
- Ambulatory Surgical Clinic/Center
- Delray Beach, FL
- NPI 1992040976
FL
-
- Interventional Pain Medicine Physician
- Delray Beach, FL
- NPI 1902064876
FL
-
- Ambulatory Surgical Clinic/Center
- Port St. Lucie, FL
- NPI 1346662186
FL
-
- Specialist
- Delray Beach, FL
- NPI 1053363457
Interventional Pain Medicine
-
- Specialist
- Fort Lauderdale, FL
- NPI 1598347726
-
- Specialist
- Delray Beach, FL
- NPI 1700396660
Interventional Pain Medicine
-
- Interventional Pain Medicine Physician
- Coral Gables, FL
- NPI 1457408791
Interventional Pain Medicine
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Sarasota, FL
- NPI 1255494803
Pain Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Port Richey, FL
- NPI 1437135811
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.