Active NPI
Apollo Pain Care LLC
- Interventional Pain Medicine Physician
- Miami, FL
National Provider Identifier
1831618222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2256359 | Apollo Pain Care LLC | Certificate of waiver | Mar 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.