NPIMap

Individual provider Active NPI

Sean Verma, MD

  • Nephrology Physician
  • Tampa, FL
National Provider Identifier
1396131165
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD470275 Issued in PA
Practice address
17 Davis Blvd
Suite 308
Tampa, FL 33606-3475
Phone
(813) 259-0661
NPI assigned
Apr 8, 2015
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD470275 PA Primary

Addresses

Primary practice location

17 Davis Blvd
Suite 308
Tampa, FL 33606-3475

Mailing address

4453 Castor Ave
Ste B
Philadelphia, PA 19124-3846
Phone (215) 744-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200713002257 PA Practitioner - Nephrology 3072936863 Reassigns benefits to 2 organizations
I20220701000007 FL Practitioner - NephrologyPractitioner - Internal Medicine 3072936863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of South Florida College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shyam Verma MD PAGroup PAC ID 3476717653, 2 clinicians

Practice addresses (Care Compare)

801 Garden St
Titusville, FL 32796-3408
Phone (321) 267-1164

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Nephrology Associates, PC Nephrology CurrentSince Jul 6, 2020 Accepting new patients
Shyam Verma MD PA Nephrology CurrentSince Jun 16, 2022 Accepting new patients
Temple Physician Inc. CurrentSince Nov 1, 2020 Accepting new patients
Temple Physicians Inc CurrentSince Nov 1, 2020 Accepting new patients
Metropolitan Nephrology Associates, P.C. Nephrology CurrentSince Jul 6, 2020 Accepting new patients
Temple Physicians Inc Current Accepting new patients
Ara-Titusville Dialysis LLC PastSince Jun 22, 2022 Accepting new patients

Locations

801 Garden St
Titusville, FL 32796
Phone (321) 267-1163

801 Garden St
Unit A
Titusville, FL 32796

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

4453 Castor Ave
#B
Philadelphia, PA 19124
Phone (215) 238-2266

7500 Central Ave
Ste 210
Philadelphia, PA 19111
Phone (215) 214-2973

Networks

  • 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1396131165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE",
            "address_2": "STE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266",
            "fax_number": "215-743-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD",
            "address_2": "SUITE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063475",
            "telephone_number": "813-259-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD470275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.