Individual provider Active NPI

Sidharth Panchamia, MD

  • Interventional Pain Medicine Physician
  • Riverview, FL
National Provider Identifier
1275735276
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME106682 Issued in FL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 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

IdentifierTypeStateIssuer
P01279725OtherFLRR MEDICARE

Other names 1

  • Sid Panchamia Other name

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
I20101027001436 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 5991851529 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
New York Medical College, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Omni Pain Care, LLCGroup PAC ID 6406135839, 4 clinicians

Practice addresses (Care Compare)

3140 S Falkenburg Rd
Suite 205
Riverview, FL 33578-2594
Phone (813) 533-5522

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
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

LicenseStateTypeSpecialty
ME 106682FLMDAnesthesiology Physician
ME106682FLMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Sep 3, 2010 Accepting new patients
Omni Clearwater, LLC Interventional Pain Medicine CurrentSince Feb 6, 2022 Accepting new patients
Florida Anesthesia Medical Services 1, PA Anesthesiology CurrentSince Jan 20, 2019 Accepting new patients
Baycare Medical Group, Inc CurrentSince May 28, 2024 Accepting new patients
Baycare Medical Group, Inc. CurrentSince May 28, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Sep 3, 2010 Accepting new patients
Omni Pain Care, LLC Interventional Pain Medicine CurrentSince Aug 15, 2016 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

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIGGAD/Endpoint/GIGGAD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.