NPIMap

Organization Active NPI

Florida Anesthesiology & Pain Clinic PA

  • Interventional Pain Medicine Physician
  • Orlando, FL
National Provider Identifier
1659304236
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
FLORIDA ANESTHESIOLOGY & PAIN CLINIC PA
Practice address
933 Lee Rd Ste 105
Orlando, FL 32810-5537
Phone
(407) 720-3801
Fax
(407) 720-3802
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Ravi Xavier, MDNPI 1497776827
Title
President
Phone
(561) 628-5039

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

933 Lee Rd Ste 105
Orlando, FL 32810-5537

Mailing address

PO Box 862622
Orlando, FL 32886-2622
Phone (407) 720-3801

Other identifiers 2

IdentifierTypeStateIssuer
251706000MedicaidFL
24343AOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080811000571 FL Part B Supplier - Clinic/Group Practice 6103894126 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach Gardens, FL; Crestview, FL; Orlando, FL

National Provider Directory

National Provider Directory

Locations

332 Medcrest Dr
Crestview, FL 32536
Phone (850) 226-7322

10065 US Highway 98 W
Ste C101B
Destin, FL 32550
Phone (850) 460-7084

2201 S 25th St
Fort Pierce, FL 34947
Phone (561) 628-5039

933 Lee Rd
Ste 105
Orlando, FL 32810
Phone (407) 720-3801

933 Lee Rd
Ste 404
Orlando, FL 32810
Phone (407) 647-5484

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1659304236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862622",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328862622",
            "telephone_number": "407-720-3801",
            "fax_number": "407-720-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 LEE RD STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105537",
            "telephone_number": "407-720-3801",
            "fax_number": "407-720-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ANESTHESIOLOGY & PAIN CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "XAVIER",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-628-5039",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251706000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "24343A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.