Organization Active NPI

Kirtikumar J. Pandya, M.D., PA

  • Child & Adolescent Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1831466846
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
KIRTIKUMAR J. PANDYA, M.D., PA
Practice address
5106 N Armenia Ave
Suite #3
Tampa, FL 33603-1433
Phone
(813) 353-0900
Fax
(813) 353-0802
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Kirtikumar J Pandya, MD
Title
Owner
Phone
(813) 353-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

5106 N Armenia Ave
Suite #3
Tampa, FL 33603-1433

Mailing address

5106 N Armenia Ave
Suite #3
Tampa, FL 33603-1433
Phone (813) 353-0900

Other identifiers 1

IdentifierTypeStateIssuer
1568408870OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000757 FL Part B Supplier - Clinic/Group Practice 2365617917 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1831466846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 N ARMENIA AVE",
            "address_2": "SUITE #3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031433",
            "telephone_number": "813-353-0900",
            "fax_number": "813-353-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 N ARMENIA AVE",
            "address_2": "SUITE #3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031433",
            "telephone_number": "813-353-0900",
            "fax_number": "813-353-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRTIKUMAR J. PANDYA, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "KIRTIKUMAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-353-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568408870",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.