Edward Marion Podgorski III III, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

63778 Issued in AZ

Practice address

2727 W MLK Blvd Ste 520
Tampa, FL 33607-6000

Phone

(215) 779-9999

Fax

(564) 524-6512

NPI assigned

Jun 20, 2016

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Pain Management

Education

Jefferson Medical College of Thomas Jefferson University, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mobile Anesthesia Associates LLCGroup PAC ID 4183619828, 47 clinicians

Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075
• Tampa General Hospital Hospital, Tampa, FL, CCN 100128

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: ed.podgorski.1@30104.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EFBFCD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lifepath Hospice, Inc.

  dba LifePath Hospice

  • Community Based Hospice Care Agency
  • Temple Terrace, FL
  • NPI 1124171350

  Corporate Director

  CMS ownership

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.

• Mobile Anesthesia Associates LLC

  dba Anesthesia Associates of Florida

  • Pain Medicine (Anesthesiology) Physician
  • Stuart, FL
  • NPI 1295776243
  Medicare reassignment Care Compare group NPD
• Hawthorne Oncology Pain Experts LLC

  • Interventional Pain Medicine Physician
  • Tampa, FL
  • NPI 1558087056
  Medicare reassignment NPD
• Baptist Surgery and Endoscopy Centers LLC

  dba Baptist Health Surgery Center at Northpoint

  • Ambulatory Surgical Clinic/Center
  • West Palm Beach, FL
  • NPI 1407227358
  NPD
• Red Butte Healthcare

  dba Red Butte Pain Solutions

  • Interventional Pain Medicine Physician
  • Chandler, AZ
  • NPI 1720659048
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Florida Health Sciences Center Inc

  dba Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1235196510
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1760832828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W MLK BLVD STE 520",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076000",
            "telephone_number": "813-538-7600",
            "fax_number": "813-538-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W MLK BLVD STE 520",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076000",
            "telephone_number": "215-779-9999",
            "fax_number": "564-524-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODGORSKI III",
        "first_name": "EDWARD",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "63778",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "268113",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "63778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PM Transit LLC
• Pmsi Inc (Pmsi Pharmacy)
• Brandy Nichole Poblete-Scaglione
• Sarah-Jessica P. Poblete, MD
• Michael A Poch, MD
• Beata Podgorski, NP
• Podiatry Nursing Home Associates
• Sarah Christine Podufal, APRN, FNP-C
• Meghan Poe, CRNA
• Daniel Poetter, M.D.

• Pain Medicine (Anesthesiology) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.