Individual provider Active NPI

Navdeep Singh Jassal, MD.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lakeland, FL
National Provider Identifier
1255625513
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME 122237 Issued in FL
Practice address
1611 Harden Blvd
Lakeland, FL 33803-1826
Phone
(813) 701-5804
Fax
(813) 291-7615
NPI assigned
Jun 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME 122237 FL Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 273186 NY

Addresses

Primary practice location

1611 Harden Blvd
Lakeland, FL 33803-1826

Mailing address

PO Box 25201
Tampa, FL 33622-5201
Phone (727) 823-2188

Other practice location 1

7032 US Highway 301 N
Ellenton, FL 34222-3030
Phone (813) 701-5804

Other practice location 2

414 W Robertson St
Brandon, FL 33511-5007
Phone (813) 701-5804

Other practice location 3

771 Cypress Village Blvd
Sun City Center, FL 33573-6801
Phone (813) 701-5804

Other practice location 4

1749 6th St NW
Winter Haven, FL 33881-2301
Phone (813) 701-5804

Other practice location 5

3333 Clark Rd Ste 190
Sarasota, FL 34231-8435
Phone (813) 701-5804

Other identifiers 2

IdentifierTypeStateIssuer
015208900MedicaidFL
150HROtherFLBCBS

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
I20150714003194 FL Practitioner - Interventional Pain Management 5597078949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Pain and Spine LLCGroup PAC ID 8123447869, 15 clinicians

Practice addresses (Care Compare)

1749 6TH St NW
Winter Haven, FL 33881-2301
Phone (813) 701-5804

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 122237FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician
273186NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Pain and Spine LLC Pain Medicine CurrentSince Jan 1, 2022 Accepting new patients
Excel Pain and Spine LLC Pain Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

414 W Robertson St
Brandon, FL 33511
Phone (813) 657-6767

28050 US Highway 19 N
Ste 100
Clearwater, FL 33761
Phone (727) 210-2225

2310 North Blvd W
Ste A
Davenport, FL 33837
Phone (863) 732-7246

7032 US Highway 301 N
Ellenton, FL 34222
Phone (941) 723-2131

1417 Lakeland Hills Blvd
Ste 201
Lakeland, FL 33805
Phone (833) 513-7246

1611 Harden Blvd
Lakeland, FL 33803

2100 1st Ave S
Ste 100B
St Petersburg, FL 33712

3909 Galen Ct
Ste 104
Sun City Ctr, FL 33573
Phone (813) 400-3879

771 Cypress Village Blvd
Sun City Ctr, FL 33573
Phone (813) 333-5080

3218 W Azeele St
Tampa, FL 33609
Phone (813) 879-1188

326 S 6th Ave
Wauchula, FL 33873

26851 Tanic Dr
Ste 102
Wesley Chapel, FL 33544
Phone (727) 203-5073

1749 6th St NW
Winter Haven, FL 33881

400 Avenue K SE
Ste 9
Winter Haven, FL 33880
Phone (863) 291-6313

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1255625513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225201",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031826",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7032 US Highway 301 N",
            "address_purpose": "LOCATION",
            "city": "Ellenton",
            "state": "FL",
            "postal_code": "342223030",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 W Robertson St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115007",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "771 Cypress Village Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736801",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1749 6th St NW",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338812301",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Clark Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342318435",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASSAL",
        "first_name": "NAVDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-04",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 122237",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "273186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015208900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "150HR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.