Individual provider Active NPI

Sandeep Kola, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sarasota, FL
National Provider Identifier
1639584584
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS15549 Issued in FL
Practice address
4071 Bee Ridge Rd Ste 101
Sarasota, FL 34233-2542
Phone
(941) 371-7171
NPI assigned
Jun 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS15549 FL Primary

Addresses

Primary practice location

4071 Bee Ridge Rd Ste 101
Sarasota, FL 34233-2542

Mailing address

4071 Bee Ridge Rd Ste 101
Sarasota, FL 34233-2542

Other practice location 1

7000 SW 62nd Ave
Suite 401
South Miami, FL 33143-4716
Phone (305) 284-7539

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
I20190801002925 FL Practitioner - Physical Medicine and Rehabilitation 1052604709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Kansas City College of Medicine and Surgery, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthomed Pain Relief Centers LLCGroup PAC ID 4486739562, 2 clinicians

Practice addresses (Care Compare)

4071 Bee Ridge Rd
Suite 101
Sarasota, FL 34233-2542
Phone (941) 371-7171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Pain & Sports Medicine Pain Medicine PastSince Jul 25, 2019 Accepting new patients

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": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1639584584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 BEE RIDGE RD STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 BEE RIDGE RD STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332542",
            "telephone_number": "941-371-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 SW 62nd Ave",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434716",
            "country_code": "US",
            "telephone_number": "305-284-7539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLA",
        "first_name": "SANDEEP",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-29",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS15549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.