Individual provider Active NPI

Harshini Dhananjay, DO

  • Pain Medicine (Anesthesiology) Physician
  • St Petersburg, FL
National Provider Identifier
1225266398
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS15540 Issued in FL
Practice address
6333 54TH Ave N
Saint Petersburg, FL 33709-1703
Phone
(727) 548-6100
Fax
(727) 497-2322
NPI assigned
Jun 29, 2009
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 269047 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X OS017165 PA
Pain Medicine (Anesthesiology) Physician 207LP2900X OS15540 FL Primary

Addresses

Primary practice location

6333 54TH Ave N
Saint Petersburg, FL 33709-1703

Mailing address

6333 54TH Ave N
Saint Petersburg, FL 33709-1703
Phone (727) 548-6100

Other identifiers 1

IdentifierTypeStateIssuer
102932140MedicaidPA

Other names 1

  • Dr. Harshini Dani Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170919000181 NY Practitioner - Anesthesiology 0042437915 Reassigns benefits to 1 organization
I20171009001662 NJ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 0042437915
I20200413002287 FL Practitioner - AnesthesiologyPractitioner - Pain Management 0042437915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

11962 County Rd
The Villages, FL 32162-9336
Phone (352) 693-3378

8136 Centralia CT
Suite 103
Leesburg, FL 34788-3757
Phone (352) 343-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15540FLMDPain Medicine (Anesthesiology) Physician
OS017165PAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Anesthesiology CurrentSince Dec 18, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Dec 18, 2018 Accepting new patients
Pain and Spine Centers of Florida, LLC CurrentSince May 1, 2020 Accepting new patients
Florida Medical Pain Management LLC CurrentSince Feb 15, 2021 Accepting new patients
Pain and Spine Centers of Florida LLC CurrentSince May 1, 2020 Accepting new patients
Pain and Spine Centers of Florida LLC Current Accepting new patients

Locations

8136 Centralia Ct
Ste 103
Leesburg, FL 34788
Phone (352) 343-6900

5270 Applegate Dr
Spring Hill, FL 34606
Phone (352) 340-5990

6333 54th Ave N
St Petersburg, FL 33709
Phone (727) 548-6100

2146 Vindale Rd
Tavares, FL 32778
Phone (352) 343-7246

2146 Vindale Rd
Ste C
Tavares, FL 32778
Phone (352) 343-6900

111 E 210th St
Bronx, NY 10467

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1225266398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 54TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100",
            "fax_number": "727-497-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 54TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100",
            "fax_number": "727-497-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANANJAY",
        "first_name": "HARSHINI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "269047",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "OS017165",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS15540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102932140",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARSHINI",
            "last_name": "DANI",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.