Individual provider Active NPI

Kamlesh Pranshanker Pandya, M.D.

  • Pulmonary Disease Physician
  • Fort Pierce, FL
National Provider Identifier
1750440020
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0059031 Issued in FL
Practice address
2100 Nebraska Ave Ste 202
Fort Pierce, FL 34950-4832
Phone
(772) 460-1510
Fax
(772) 460-1509
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0059031 FL Primary

Addresses

Primary practice location

2100 Nebraska Ave Ste 202
Fort Pierce, FL 34950-4832

Mailing address

2100 Nebraska Ave Ste 202
Fort Pierce, FL 34950-4832
Phone (772) 460-1510

Other identifiers 1

IdentifierTypeStateIssuer
051911100MedicaidFL

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
I20081117000813 FL Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 3375603624 Reassigns benefits to 6 organizations
Practice locations: Fort Pierce, FL

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lucie Medical Specialists LLCGroup PAC ID 1456430487, 39 clinicians

Practice addresses (Care Compare)

1700 S 23Rd St
Fort Pierce, FL 34950-4803
Phone (772) 461-4000

2505 SW Martin Hwy
Palm City, FL 34990-3149
Phone (772) 288-1015

5000 Okeechobee Rd
Suite B
Fort Pierce, FL 34947-5492
Phone (772) 464-6551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Lucie Medical Specialists LLC CurrentSince Sep 26, 2022 Accepting new patients
Premier Critical Care ,LLC Pulmonary Disease CurrentSince Jul 15, 2022 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Premier Inpatient Partners LLC CurrentSince May 11, 2021 Accepting new patients
Hni Hospital Services of Florida, LLC Pulmonary Disease CurrentSince Mar 1, 2020 Accepting new patients
Intensivist Medicine Services of FL, LLC CurrentSince Apr 4, 2023 Accepting new patients
Oasis Pulmonary and Sleep Medicine LLC Pulmonary Disease Past Accepting new patients

Locations

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

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

2505 SW Martin Hwy
Palm City, FL 34990
Phone (772) 288-0060

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

140 SW Chamber Ct
Ste 100
Port St Lucie, FL 34986
Phone (772) 873-0303

2901 W Swann Ave
Fl S
Tampa, FL 33609
Phone (813) 873-6400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kamlesh.pandya@hca4.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

Organizations & group practices 7

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.

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1750440020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE STE 202",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504832",
            "telephone_number": "772-460-1510",
            "fax_number": "772-460-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE STE 202",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504832",
            "telephone_number": "772-460-1510",
            "fax_number": "772-460-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "KAMLESH",
        "middle_name": "PRANSHANKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0059031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051911100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.