Individual provider Active NPI

Neel Manji Jethwa, M.D.

  • Anesthesiology Physician
  • St Petersburg, FL
National Provider Identifier
1689930208
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME132703 Issued in FL
Practice address
1503 Dr. MLK Street North
Saint Petersburg, FL 33704-4201
Phone
(727) 480-4340
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X ME132703 FL Primary

Addresses

Primary practice location

1503 Dr. MLK Street North
Saint Petersburg, FL 33704-4201

Mailing address

1503 Dr. MLK Street North
St. Petersburg, FL 33704-4201
Phone (727) 480-4340

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
I20171006001233 FL Practitioner - Anesthesiology 1850666405 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
James G Hankerson PAGroup PAC ID 1254424955, 19 clinicians

Practice addresses (Care Compare)

2020 59TH St W
Bradenton, FL 34209-4604
Phone (941) 792-6611

2727 W Dr Martin Luther King Jr Blvd
Suite 100
Tampa, FL 33607-6383
Phone (813) 877-8094

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Aug 23, 2017 Accepting new patients
James G Hankerson PA Anesthesiology CurrentSince Apr 15, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Aug 23, 2017 Accepting new patients
Healthcare Career Services LLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Tampa Bay Joint and Spine, LLC PastSince Apr 20, 2021 Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

26034 US Highway 19 N
Clearwater, FL 33763
Phone (727) 371-2500

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1715 N West Shore Blvd
Ste 190
Tampa, FL 33607
Phone (813) 870-1000

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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 1

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1689930208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 DR. MLK STREET NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337044201",
            "telephone_number": "727-480-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 DR. MLK STREET NORTH",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337044201",
            "telephone_number": "727-480-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETHWA",
        "first_name": "NEEL",
        "middle_name": "MANJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME132703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.