NPIMap

Organization Active NPI

Advanced Medical of Florida LLC

  • Interventional Pain Medicine Physician
  • Clearwater, FL
National Provider Identifier
1386987584
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ADVANCED MEDICAL OF FLORIDA LLC
Practice address
1528 Lakeview Rd Ste 150
Clearwater, FL 33756-3694
Phone
(727) 408-5222
Fax
(724) 408-5252
NPI assigned
Apr 5, 2013
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Mr. Amanpreet Singh Bhathal, D.C.NPI 1003159039
Title
Managing Member
Phone
(727) 408-5222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10839 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Interventional Pain Medicine Physician 208VP0014X Primary
Physical Therapist 225100000X PT30139 FL

Addresses

Primary practice location

1528 Lakeview Rd Ste 150
Clearwater, FL 33756-3694

Mailing address

1528 Lakeview Rd Ste 150
Clearwater, FL 33756-3694
Phone (727) 408-5222

Other practice location 1

8122 118th Ave
Largo, FL 33773-5012
Phone (727) 202-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150622002690 FL Part B Supplier - Clinic/Group Practice 7012137946 Receives reassigned benefits from 9 practitioners
Practice locations: Clearwater, FL; Largo, FL; St Petersburg, FL
O20180215001219 FL DME Supplier - Physician - General Practice 7012137946 Practice locations: Clearwater, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1145 Ponce de Leon Blvd
Clearwater, FL 33756
Phone (727) 408-5222

1528 Lakeview Rd
Clearwater, FL 33756
Phone (727) 446-5633

1857 Gulf To Bay Blvd
Clearwater, FL 33765
Phone (727) 408-5222

8122 118th Ave
Largo, FL 33773
Phone (727) 202-6963

7895 Seminole Blvd
Ste 102
Seminole, FL 33772
Phone (727) 202-6963

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1386987584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 LAKEVIEW RD STE 150",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563694",
            "telephone_number": "727-408-5222",
            "fax_number": "727-408-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 LAKEVIEW RD STE 150",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563694",
            "telephone_number": "727-408-5222",
            "fax_number": "724-408-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8122 118th Ave",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337735012",
            "country_code": "US",
            "telephone_number": "727-202-6963",
            "fax_number": "727-498-8960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED MEDICAL OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "BHATHAL",
        "authorized_official_first_name": "AMANPREET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-408-5222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10839",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.