Individual provider Active NPI

Kamaldeen Rizvie Saldin, MD, MPH

  • Interventional Pain Medicine Physician
  • Odessa, FL
National Provider Identifier
1407025430
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME111528 Issued in FL
Practice address
2040 Short Ave
Odessa, FL 33556-3445
Phone
(727) 372-9922
Fax
(727) 372-8477
NPI assigned
Feb 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME111528 FL
Interventional Pain Medicine Physician 208VP0014X ME111528 FL Primary

Addresses

Primary practice location

2040 Short Ave
Odessa, FL 33556-3445

Mailing address

PO Box 10474
Tampa, FL 33679-0474
Phone (813) 460-5670

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
I20140819002706 FL Practitioner - NeurologyPractitioner - PsychiatryPractitioner - Pain ManagementPractitioner - Neuropsychiatry 5991850935 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Orthopaedic Specialists, PLLC CurrentSince Aug 1, 2014 Accepting new patients
Nova Advanced Pain Management PLLC Interventional Pain Medicine Past Accepting new patients

Locations

2040 Short Ave
Odessa, FL 33556
Phone (727) 372-9922

2040 Short Ave
Ste 100
Odessa, FL 33556
Phone (727) 372-9922

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDGDD/Endpoint/EEDGDD

Organizations & group practices 2

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": "1203811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1407025430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10474",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336790474",
            "telephone_number": "813-460-5670",
            "fax_number": "727-264-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563445",
            "telephone_number": "727-372-9922",
            "fax_number": "727-372-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDIN",
        "first_name": "KAMALDEEN",
        "middle_name": "RIZVIE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-24",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME111528",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME111528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

Verify at the official NPI Registry.