Individual provider Active NPI

Padmaja Yatham, M.D.

  • Interventional Pain Medicine Physician
  • Miami, FL
National Provider Identifier
1699700187
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME98251 Issued in FL
Practice address
7000 SW 97TH Ave Ste 214
Miami, FL 33173-1492
Phone
(786) 780-1800
Fax
(786) 780-2500
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME98251 FL
Interventional Pain Medicine Physician 208VP0014X ME98251 FL Primary

Addresses

Primary practice location

7000 SW 97TH Ave Ste 214
Miami, FL 33173-1492

Mailing address

7000 SW 97TH Ave Ste 214
Miami, FL 33173-1492
Phone (786) 780-1800

Other practice location 1

1 SW 129th Ave Ste 109
Pembroke Pines, FL 33027-1716
Phone (786) 780-1800

Other practice location 2

13055 SW 42nd St Ste 105
Miami, FL 33175-3409
Phone (786) 780-1832

Other identifiers 5

IdentifierTypeStateIssuer
1070341OtherFLCARE PLUS
95717OtherFLBCBS
6287092OtherFLCIGNA
9788253OtherFLAETNA
409417OtherFLWELLCARE

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
I20071108000123 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1557369345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7000 SW 97TH Ave
Suite 214
Miami, FL 33173-1492
Phone (786) 780-1800

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.2
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98251FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Pain Care LLC Interventional Pain Medicine CurrentSince Mar 9, 2016 Accepting new patients
Apollo Pain Care LLC Interventional Pain Medicine CurrentSince Jan 15, 2016 Accepting new patients
Advanced Interventional Pain Clinic, LLC Interventional Pain Medicine PastSince Oct 1, 2008 Accepting new patients

Locations

13055 SW 42nd St
Ste 105
Miami, FL 33175
Phone (305) 207-2500

7000 SW 97th Ave
Ste 214
Miami, FL 33173
Phone (305) 271-2511

14601 SW 29th St
Ste 103
Miramar, FL 33027
Phone (305) 595-6075

1 SW 129th Ave
Ste 109
Pembroke Pines, FL 33027
Phone (954) 433-4200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 3

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1699700187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731492",
            "telephone_number": "786-780-1800",
            "fax_number": "786-780-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731492",
            "telephone_number": "786-780-1800",
            "fax_number": "786-780-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 SW 129th Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330271716",
            "country_code": "US",
            "telephone_number": "786-780-1800",
            "fax_number": "786-780-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13055 SW 42nd St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753409",
            "country_code": "US",
            "telephone_number": "786-780-1832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YATHAM",
        "first_name": "PADMAJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME98251",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME98251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "1070341",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95717",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6287092",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9788253",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "409417",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.