Organization Active NPI

Apollo Pain Care LLC

  • Interventional Pain Medicine Physician
  • Miami, FL
National Provider Identifier
1831618222
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
APOLLO PAIN CARE LLC
Practice address
1190 NW 95TH St Ste 402
Miami, FL 33150-2067
Phone
(786) 780-1800
Fax
(786) 780-2500
NPI assigned
Sep 17, 2017
Organization subpart
Yes
Parent organization
APOLLO PAIN CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Padmaja Rani Yatham, MD
Title
Medical Director
Phone
(786) 780-1800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X FL Primary
Pain Clinic/Center 261QP3300X FL

Addresses

Primary practice location

1190 NW 95TH St Ste 402
Miami, FL 33150-2067

Mailing address

1190 NW 95TH St Ste 402
Miami, FL 33150-2067
Phone (786) 780-1800

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2256359Apollo Pain Care LLC1190 NW 95TH St, Ste 402, Miami, FL 33150Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory
Part of
Apollo Pain Care LLC

Locations

1190 NW 95th St
Ste 402
Miami, FL 33150
Phone (305) 696-7666

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1831618222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502067",
            "telephone_number": "786-780-1800",
            "fax_number": "786-780-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502067",
            "telephone_number": "786-780-1800",
            "fax_number": "786-780-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO PAIN CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APOLLO PAIN CARE LLC",
        "enumeration_date": "2017-09-17",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "YATHAM",
        "authorized_official_first_name": "PADMAJA",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-780-1800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.