NPIMap

Individual provider Active NPI

Pramod Joseph, MD

  • Gastroenterology Physician
  • Fort Pierce, FL
National Provider Identifier
1720222102
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME103412 Issued in FL
Practice address
2215 Nebraska Ave
Suite 1a
Fort Pierce, FL 34950-4864
Phone
(772) 567-6181
Fax
(772) 567-8242
NPI assigned
Apr 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME103412 FL Primary

Addresses

Primary practice location

2215 Nebraska Ave
Suite 1a
Fort Pierce, FL 34950-4864

Mailing address

8036 Plantation Lakes Dr
Port Saint Lucie, FL 34986-3013
Phone (772) 567-6181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090901000626 FL Practitioner - Gastroenterology 1850446535 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pramod Joseph MD LLCGroup PAC ID 5294048609, 3 clinicians

Practice addresses (Care Compare)

2122 Milano CT
Palm Beach Gardens, FL 33418-6705
Phone (772) 567-6181

275 18TH St
Suite 103
Vero Beach, FL 32960-0824
Phone (772) 567-6181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy320
Upper gastrointestinal (GI) endoscopy for acid reflux554

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vero Anesthesia CurrentSince Jun 15, 2015 Accepting new patients
Pramod Joseph MD LLC Gastroenterology CurrentSince Jul 12, 2010 Accepting new patients
Pramod Joseph Hospital Practice LLC Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients
Live Oak Endoscopy Center, LLC CurrentSince Jun 15, 2015 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

2215 Nebraska Ave
Ste 1-A
Fort Pierce, FL 34950
Phone (772) 464-8722

275 18th St
Ste 103
Vero Beach, FL 32960
Phone (772) 567-6181

275 18th St
Ste 101
Vero Beach, FL 32960
Phone (772) 299-5005

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 4

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 5

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1720222102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8036 PLANTATION LAKES DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863013",
            "telephone_number": "772-567-6181",
            "fax_number": "772-567-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE",
            "address_2": "SUITE 1A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504864",
            "telephone_number": "772-567-6181",
            "fax_number": "772-567-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "PRAMOD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME103412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.