Organization Active NPI

Pinellas Internal Medicine PA

  • Internal Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1851364418
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77230 Issued in FL
Legal business name
PINELLAS INTERNAL MEDICINE PA
Practice address
2595 Tampa Rd
Ste D
Palm Harbor, FL 34684
Phone
(727) 773-8884
Fax
(727) 784-5449
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pankaj K Joshi, MD
Title
Propriotor
Phone
(727) 773-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME77230 FL Primary

Addresses

Primary practice location

2595 Tampa Rd
Ste D
Palm Harbor, FL 34684

Mailing address

2595 Tampa Rd
Ste D
Palm Harbor, FL 34684
Phone (727) 773-8884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109000591 FL Part B Supplier - Clinic/Group Practice 3577758168 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851364418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "STE D",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-773-8884",
            "fax_number": "727-784-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "STE D",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-773-8884",
            "fax_number": "727-784-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELLAS INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROPRIOTOR",
        "authorized_official_telephone_number": "727-773-8884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.