Individual provider Active NPI

Devang M Padalia, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
National Provider Identifier
1346238748
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME93557 Issued in FL
Practice address
4509 N Armenia Ave
Tampa, FL 33603-2703
Phone
(813) 873-7777
Fax
(813) 873-7776
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME93557 FL Primary

Addresses

Primary practice location

4509 N Armenia Ave
Tampa, FL 33603-2703

Mailing address

4509 N Armenia Ave
Tampa, FL 33603-2703
Phone (813) 873-7777

Other identifiers 2

IdentifierTypeStateIssuer
27585040MedicaidFL
53018OtherFLBLUE CROSS BLUE SHIELD

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
I20060228000101 FL Practitioner - AnesthesiologyPractitioner - Pain Management 6800802927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Wellness Institute PAGroup PAC ID 8426139353, 2 clinicians

Practice addresses (Care Compare)

4509 N Armenia Ave
Tampa, FL 33603-2703
Phone (813) 873-7777

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93557FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dol Physicians of America CurrentSince May 12, 2024 Accepting new patients
Pain & Wellness Institute PA CurrentSince Jan 1, 2023 Accepting new patients
Ocala Surgical Center Anesthesia Inc Past Accepting new patients
Sacher Anesthesia and Pain Management Inc Pain Medicine Past Accepting new patients

Locations

4509 N Armenia Ave
Tampa, FL 33603
Phone (813) 841-8553

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1346238748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032703",
            "telephone_number": "813-873-7777",
            "fax_number": "813-873-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032703",
            "telephone_number": "813-873-7777",
            "fax_number": "813-873-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADALIA",
        "first_name": "DEVANG",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME93557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27585040",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53018",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.