Padmaja Pam Polavarapu, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME108341 Issued in FL

Practice address

1810 59TH St W
Bradenton, FL 34209-4630

Phone

(941) 792-1412

Fax

(941) 795-0753

NPI assigned

Aug 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hospital Medicine Services of TX, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1881392363
  Medicare reassignment Care Compare group NPD
• Emergency Hospital Systems LLC

  • General Acute Care Hospital
  • Cleveland, TX
  • NPI 1992172019
  Medicare reassignment NPD
• MD Hospitalists PLLC

  • Hospitalist Physician
  • McAllen, TX
  • NPI 1235672809
  Medicare reassignment NPD
• Mountain Medical Clinic PC

  • Internal Medicine Physician
  • Bland, VA
  • NPI 1962498899
  NPD (past) Authorized official
• Beckley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1376757674
  NPD (past)
• Bluefield Gastroenterology PLLC

  • Specialist
  • Princeton, WV
  • NPI 1093869968
  NPD (past)
• Chca Bayshore LP

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698
  NPD (past)
• Emcare Physician Providers Inc.

  • Emergency Medicine Physician
  • Clintwood, VA
  • NPI 1891706008
  NPD (past)
• Epmg of Virginia P C

  • Emergency Medical Services (Emergency Medicine) Physician
  • Blacksburg, VA
  • NPI 1972545531
  NPD (past)
• Greenbrier Emergency Services, Inc.

  • Emergency Medicine Physician
  • Gassaway, WV
  • NPI 1568401461
  NPD (past)
• Humberto Nunez MD PA

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1245667138
  NPD (past)
• Medexpress Urgent Care PLLC-Morgantown

  • Urgent Care Clinic/Center
  • Morgantown, WV
  • NPI 1235138280
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Bayshore LP

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1376536862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-792-1412",
            "fax_number": "941-795-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-792-1412",
            "fax_number": "941-795-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAVARAPU",
        "first_name": "PADMAJA",
        "middle_name": "PAM",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME108341",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "17433",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "007822100",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006048641",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pointe Emergency Physicians
• Pointe West Anesthesia PA
• Pointe West Infectious Diseases P L
• Pointe West Infectious Diseases P L
• Jose F Polanco, M.D., P.A.
• Kristopher Pollock, PT
• Carrieli Pomeroy
• Brad Porritt, HIS
• Positive Behavior Interventions, Inc
• Positive Care Rehabilitation Therapies, LLC

• Specialist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.

Verify at the official NPI Registry.