Individual provider Active NPI

Pattanam Dorai Srinivasan, M.D.

  • Anesthesiology Physician
  • Clearwater, FL
National Provider Identifier
1225084155
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME124951 Issued in FL
Practice address
25400 US Highway 19 N Ste 185
Clearwater, FL 33763-2157
Phone
(954) 417-8187
NPI assigned
May 25, 2006
Last updated
Aug 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME124951 FL Primary
Interventional Pain Medicine Physician 208VP0014X ME124951 FL

Addresses

Primary practice location

25400 US Highway 19 N Ste 185
Clearwater, FL 33763-2157

Mailing address

3740 Embassy Cir
Palm Harbor, FL 34685-1016
Phone (727) 474-6507

Other practice location 1

1400 E Oakland Park Blvd Ste 111
Oakland Park, FL 33334-4400
Phone (954) 417-8187

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
I20170405000411 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4183640345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1831 N Belcher Rd St
E1
Clearwater, FL 33765-1442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME124951FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shilo LLC Multi-Specialty CurrentSince Oct 25, 2021 Accepting new patients
Advanced Interventional Pain Center FL Multi-Specialty CurrentSince May 8, 2020 Accepting new patients
Prime Interventional Consultants Corp Interventional Pain Medicine Current Accepting new patients
Advanced Interventional Pain Center la Multi-Specialty PastSince Mar 21, 2012 Accepting new patients
Avid Health Plans LLC Multi-Specialty PastSince Oct 25, 2021 Accepting new patients

Locations

1831 N Belcher Rd
Ste E1
Clearwater, FL 33765
Phone (727) 827-2825

4738 Grand Blvd
Ste G
New Port Richey, FL 34652
Phone (727) 474-6507

10549 N Florida Ave
Ste J
Tampa, FL 33612
Phone (813) 252-0242

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1225084155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 EMBASSY CIR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851016",
            "telephone_number": "727-474-6507",
            "fax_number": "765-450-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25400 US HIGHWAY 19 N STE 185",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632157",
            "telephone_number": "954-417-8187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Oakland Park Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333344400",
            "country_code": "US",
            "telephone_number": "954-417-8187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "PATTANAM",
        "middle_name": "DORAI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME124951",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME124951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.