Individual provider Active NPI

Nisha Pradeep

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1831578392
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS16133 Issued in FL
Practice address
2919 W Swann Ave Ste 401
Tampa, FL 33609-4083
Phone
(813) 872-1548
Fax
(813) 872-7509
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 110518 GA
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X OS16133 FL Primary

Addresses

Primary practice location

2919 W Swann Ave Ste 401
Tampa, FL 33609-4083

Mailing address

9960 NW 116TH Way Ste 13
Medley, FL 33178-1175
Phone (786) 924-1311

Other practice location 1

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

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
I20190708000784 FL Practitioner - Neurology 5395050520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians

Practice addresses (Care Compare)

2919 W Swann Ave
Suite 401
Tampa, FL 33609-4083
Phone (813) 875-5199

3411 S Dale Mabry Hwy
Suite a Select Physical Therapy
Tampa, FL 33629-8658
Phone (813) 742-9501

4215 Little Gap Loop
Ellenton, FL 34222-3914
Phone (706) 647-4389

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16133FLMDNeurology Physician
110518GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Neurology, LLC Neurology CurrentSince Sep 23, 2025 Accepting new patients
Tampa Neurology Associates CurrentSince Nov 13, 2023 Accepting new patients
Neuroscience Consultants LLP Neurology CurrentSince Nov 13, 2023 Accepting new patients
Upson Medical Associates LLC CurrentSince Oct 24, 2025 Accepting new patients
Manatee Specialty Physician Alliance, LLC Neurology CurrentSince Jul 1, 2023 Accepting new patients
Virtualhealthconnect LLC Neurology Past Accepting new patients

Locations

200 3rd Ave W
Ste 110
Bradenton, FL 34205
Phone (941) 744-2700

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

9960 NW 116th Way
Ste 13
Medley, FL 33178

2919 W Swann Ave
Ste 401
Tampa, FL 33609
Phone (813) 872-1548

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

Organizations & group practices 6

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 3

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1831578392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY STE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781175",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE STE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094083",
            "telephone_number": "813-872-1548",
            "fax_number": "813-872-7509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11215 Metro Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661206",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADEEP",
        "first_name": "NISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "110518",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS16133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.