Active NPI
Naishadh K Mandaliya, M.D.
- Specialist
- Tampa, FL
National Provider Identifier
1194761171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0057305
- Practice address
- 2810 W Waters Ave
Tampa, FL 33614-1853 - Phone
- (813) 935-5501
- Fax
- (813) 933-8784
- NPI assigned
- Jun 20, 2006
- Last updated
- Jul 9, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | ME0057305 | FL | Primary |
Addresses
Primary practice location
2810 W Waters Ave
Tampa, FL 33614-1853
Mailing address
2810 W Waters Ave
Tampa, FL 33614-1853
Phone (813) 935-5501
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063578200 | Medicaid | FL | |
| 10368 | Other | FL | BCBS |
| 290002966 | Other | FL | RR MEDICARE |
| 210685 | Other | FL | AVMED |
| 00164 | Other | FL | WELLCARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2810 W Waters Ave
Tampa, FL 33614-1853
Phone (813) 935-5501
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0057305 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Pulmonary Associates,P.a. | Specialist | Current | Accepting new patients |
Locations
6901 Simmons Loop
Ste 207
Riverview, FL 33578
Phone (813) 868-3052
2810 W Waters Ave
Tampa, FL 33614
Phone (813) 935-5501
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHIHBA
- https://fhir4.healow.com/fhir/r4/CHIHBA/Endpoint/CHIHBA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Tampa, FL
- NPI 1013947282
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Riverview
- General Acute Care Hospital
- Riverview, FL
- NPI 1699345314
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
-
dba AdventHealth Carrollwood
- General Acute Care Hospital
- Tampa, FL
- NPI 1427068345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1194761171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141853",
"telephone_number": "813-935-5501",
"fax_number": "813-933-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141853",
"telephone_number": "813-935-5501",
"fax_number": "813-933-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDALIYA",
"first_name": "NAISHADH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0057305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063578200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10368",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "290002966",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "210685",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "00164",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.