Organization Active NPI

Pramod Joseph MD LLC

Doing business as Treasure Coast Gastro Health

  • Gastroenterology Physician
  • Fort Pierce, FL
National Provider Identifier
1215314018
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
PRAMOD JOSEPH MD LLC
Doing business as
Treasure Coast Gastro Health
Practice address
2215 Nebraska Ave
Ste 1a
Fort Pierce, FL 34950-4864
Phone
(772) 567-6181
Fax
(772) 567-8242
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Pramod Joseph, M.D.NPI 1720222102
Title
President
Phone
(772) 567-6181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2215 Nebraska Ave
Ste 1a
Fort Pierce, FL 34950-4864

Mailing address

2122 Milano CT
Palm Beach Gardens, FL 33418-6705
Phone (772) 567-6181

Other names 1

  • TREASURE COAST GASTRO HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150714001936 FL Part B Supplier - Clinic/Group Practice 5294048609 Receives reassigned benefits from 5 practitioners
Practice locations: Fort Pierce, FL; Vero Beach, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCJIAD

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1215314018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 MILANO CT",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186705",
            "telephone_number": "772-567-6181",
            "fax_number": "772-567-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE",
            "address_2": "STE 1A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504864",
            "telephone_number": "772-567-6181",
            "fax_number": "772-567-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMOD JOSEPH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "PRAMOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-567-6181",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TREASURE COAST GASTRO HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.