Active NPI
Sidharth Panchamia, MD
- Interventional Pain Medicine Physician
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME106682
- Practice address
- 3140 S Falkenburg Rd Ste 205
Riverview, FL 33578-2594 - Phone
- (813) 533-5522
- Fax
- (813) 533-5511
- NPI assigned
- Jun 1, 2007
- Last updated
- Aug 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME 106682 | FL | |
| Pain Medicine Physician | 208VP0000X | ME106682 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME106682 | FL | Primary |
Addresses
Primary practice location
3140 S Falkenburg Rd Ste 205
Riverview, FL 33578-2594
Mailing address
3140 S Falkenburg Rd Ste 205
Riverview, FL 33578-2594
Phone (813) 533-5522
Other practice location 1
1811 N Belcher Rd Ste H2
Clearwater, FL 33765-1433
Phone (727) 724-6373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01279725 | Other | FL | RR MEDICARE |
Other names 1
- Sid Panchamia
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
- Pain Management
- Education
- New York Medical College, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3140 S Falkenburg Rd
Suite 205
Riverview, FL 33578-2594
Phone (813) 533-5522
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 106682 | FL | MD | Anesthesiology Physician |
| ME106682 | FL | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Omni Clearwater, LLC | Interventional Pain Medicine | Current | Accepting new patients |
| Florida Anesthesia Medical Services 1, PA | Anesthesiology | Current | Accepting new patients |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Omni Pain Care, LLC | Interventional Pain Medicine | Current | Accepting new patients |
Locations
1811 N Belcher Rd
Ste H2
Clearwater, FL 33765
Phone (727) 672-4637
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
3140 S Falkenburg Rd
Ste 205
Riverview, FL 33578
Phone (813) 413-1824
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793
38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/GIGGAD/Endpoint/GIGGAD
- spanchamia23019@direct.tgh.org
Organizations & group practices 9
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.
-
dba Omni Spine & Joint - Riverview
- Interventional Pain Medicine Physician
- Riverview, FL
- NPI 1962955765
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Pain Medicine (Anesthesiology) Physician
- Sun City Center, FL
- NPI 1467949776
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
dba Omni Spine & Joint - Clearwater
- Interventional Pain Medicine Physician
- Clearwater, FL
- NPI 1396498309
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1275735276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 S FALKENBURG RD STE 205",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335782594",
"telephone_number": "813-533-5522",
"fax_number": "813-533-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 S FALKENBURG RD STE 205",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335782594",
"telephone_number": "813-533-5522",
"fax_number": "813-533-5511"
}
],
"practiceLocations": [
{
"address_1": "1811 N Belcher Rd Ste H2",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337651433",
"country_code": "US",
"telephone_number": "727-724-6373",
"fax_number": "727-724-6377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANCHAMIA",
"first_name": "SIDHARTH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME 106682",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME106682",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME106682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01279725",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SID",
"last_name": "PANCHAMIA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.