Individual provider Active NPI

Yamilet Neninger, MD

  • Interventional Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1366497968
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME87139 Issued in FL
Practice address
4509 N Armenia Ave
Tampa, FL 33603-2747
Phone
(813) 873-7777
Fax
(813) 873-7776
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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 ME87139 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME87139 FL
Interventional Pain Medicine Physician 208VP0014X ME87139 FL Primary

Addresses

Primary practice location

4509 N Armenia Ave
Tampa, FL 33603-2747

Mailing address

PO Box 152758
Tampa, FL 33684-2758
Phone (813) 873-7777

Other identifiers 8

IdentifierTypeStateIssuer
45642OtherFLFGTBA GROUP BCBS
50737OtherFLFL BCBS
251915100MedicaidFL
262127400MedicaidFL
270843400MedicaidFL
5811585OtherFLFGTBA GROUP AETNA
40929OtherFLGTBA GROUP BCBS
5250415OtherFLGTBA GROUP AETNA

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
I20041109000995 FL Practitioner - Interventional Pain ManagementPractitioner - General PracticePractitioner - Anesthesiology 7911960075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, General Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Supportive Care PAGroup PAC ID 5991083651, 4 clinicians
Pain and Wellness Institute PAGroup PAC ID 8426139353, 2 clinicians

Practice addresses (Care Compare)

13801 Bruce B Downs Blvd
Suite 406
Tampa, FL 33613-3923
Phone (813) 444-0989

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Supportive Care, PA Interventional Pain Medicine CurrentSince Dec 20, 2025 Accepting new patients
Pain & Wellness Institute PA Anesthesiology CurrentSince Sep 1, 2007 Accepting new patients
Dol Physicians of America PastSince May 12, 2024 Accepting new patients
Metro Anesthesiology Consultants PA Anesthesiology Past Accepting new patients
Florida Gulf-to-Bay Anesthesiology Associates, LLC Anesthesiology Past Accepting new patients
Gulf Coast Pain Management Physicians Interventional Pain Medicine Past Accepting new patients
Gulf Coast Pain Management PA Pain Medicine Past Accepting new patients

Locations

13801 Bruce B Downs Blvd
Ste 406
Tampa, FL 33613
Phone (813) 345-2380

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1366497968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152758",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336842758",
            "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": "336032747",
            "telephone_number": "813-873-7777",
            "fax_number": "813-873-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENINGER",
        "first_name": "YAMILET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME87139",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME87139",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME87139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FGTBA GROUP BCBS",
            "identifier": "45642",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BCBS",
            "identifier": "50737",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251915100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262127400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270843400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FGTBA GROUP AETNA",
            "identifier": "5811585",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GTBA GROUP BCBS",
            "identifier": "40929",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GTBA GROUP AETNA",
            "identifier": "5250415",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.