Tarun Stephenson Pandari

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME159119 Issued in FL

Practice address

2333 NW 167TH St
Miami Gardens, FL 33056-4552

Phone

(956) 372-4952

NPI assigned

Jan 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1144810813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 NW 167TH ST APT 411",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564558",
            "telephone_number": "956-372-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564552",
            "telephone_number": "956-372-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDARI",
        "first_name": "TARUN",
        "middle_name": "STEPHENSON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME159119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idania Padron Valdes
• Eleanis Palancar Gainza
• Yaine Palma
• Katherine Mederos Palmero
• Palmetto General Health Care Inc.
• Paradise Medical Solutions, Inc
• Diedre Annmarie Parker, R.PH.
• Jo-Tina C Parker, SPECIMEN COLLECTOR
• Syrenthia Lashawn Parker, LCSW
• Niurka Ligia Parrado, ARNP

• General Practice Physician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.