Individual provider Active NPI

Rodolfo Gari, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
National Provider Identifier
1285697144
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME0054890 Issued in FL
Practice address
4730 N Habana Ave Ste 104
Tampa, FL 33614-7165
Phone
(813) 549-2134
Fax
(813) 549-2136
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 036.133524 IL
Pain Clinic/Center 261QP3300X 25MA09257000 NJ
Pain Clinic/Center 261QP3300X 14695 NV
Pain Medicine (Anesthesiology) Physician 207LP2900X ME0054890 FL Primary

Addresses

Primary practice location

4730 N Habana Ave Ste 104
Tampa, FL 33614-7165

Mailing address

4730 N Habana Ave
204
Tampa, FL 33614-7163
Phone (813) 549-2134

Other identifiers 1

IdentifierTypeStateIssuer
064122700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CA3 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
I20140509000860 TX Practitioner - Pain Management 2769383579 Reassigns benefits to 1 organization
I20150903002712 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 2769383579 Reassigns benefits to 3 organizations
I20190927000345 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 2769383579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Miami, LM Miller School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medhat F Mikhael MD IncGroup PAC ID 7315958188, 11 clinicians
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

295 Imperial Hwy
Suite 100
Fullerton, CA 92835-1020
Phone (714) 770-8400

3450 E Fletcher Ave
Suite 350
Tampa, FL 33613-4699
Phone (813) 739-7493

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0054890FLMDPain Medicine (Anesthesiology) Physician
036.133524ILMDPain Clinic/Center
25MA09257000NJMDPain Clinic/Center
14695NVMDPain Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group, PLLC CurrentSince Mar 8, 2014 Accepting new patients
Physician Partners of America Crna Operations LLC CurrentSince Feb 1, 2016 Accepting new patients
Medhat F. Mikhael, M.D., Inc Pain Medicine CurrentSince Mar 16, 2023 Accepting new patients
Florida Pain Relief Group PLLC Pain Medicine CurrentSince Jan 1, 2016 Accepting new patients
Charles K Friedman DO PA CurrentSince Sep 19, 2018 Accepting new patients
Texas Pain Relief Group PLLC Pain CurrentSince Mar 8, 2014 Accepting new patients
Urgent Care of Texas PLLC PastSince Nov 21, 2014 Accepting new patients
Texas Pain Relief Group PLLC Past Accepting new patients
Tampa Pain Relief Center, Inc. Past Accepting new patients
Physician Partners of America, LLC PastSince Dec 10, 2014 Accepting new patients
Park Ambulatory Surgery Center, LLC PastSince Aug 28, 2013 Accepting new patients

Locations

18255 Brookhurst St
Ste 100
Fountain Vly, CA 92708
Phone (714) 378-5330

295 Imperial Hwy
Ste 100
Fullerton, CA 92835
Phone (714) 770-8366

16787 Beach Blvd
Huntington Beach, CA 92647
Phone (657) 204-6014

24411 Health Center Dr
Ste 610
Laguna Hills, CA 92653
Phone (714) 963-7240

3620 Atlantic Ave
Long Beach, CA 90807
Phone (562) 595-0060

26137 La Paz Rd
Ste 140
Mission Viejo, CA 92691
Phone (949) 364-9595

1320 S Belcher Rd
Clearwater, FL 33764
Phone (727) 518-8660

1724 33rd St
Ste 200
Orlando, FL 32839
Phone (407) 385-1551

6449 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 350-0450

5767 49th St N
St Petersburg, FL 33709
Phone (727) 350-0450

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

4730 N Habana Ave
Ste 204
Tampa, FL 33614

504 N Reo St
Tampa, FL 33609
Phone (813) 319-0911

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

4730 N Habana Ave
Ste 300
Tampa, FL 33614
Phone (813) 352-9465

4726 N Habana Ave
Ste 100
Tampa, FL 33614
Phone 81354921341109

14438 University Cove Pl
Tampa, FL 33613
Phone (813) 531-8160

4703 N Armenia Ave
Tampa, FL 33603
Phone (813) 514-0230

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72814
  • Direct secure messaging: rodolfo.gari@ppoa.directbygreenway.com

Organizations & group practices 11

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285697144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE",
            "address_2": "204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147163",
            "telephone_number": "813-549-2134",
            "fax_number": "813-549-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147165",
            "telephone_number": "813-549-2134",
            "fax_number": "813-549-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARI",
        "first_name": "RODOLFO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IL",
            "license": "036.133524",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NJ",
            "license": "25MA09257000",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NV",
            "license": "14695",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME0054890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064122700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.