Shyam Sundar Swain, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME0069790 Issued in FL

Practice address

7105 Mariner Blvd
Spring Hill, FL 34609-1048

Phone

(352) 596-1339

Fax

(352) 596-8772

NPI assigned

Feb 12, 2007

Last updated

Mar 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Interventional Pain Management

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGIBBD/Endpoint/GGIBBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keti Medical Center & Pain Management Inc

  • Interventional Pain Medicine Physician
  • Spring Hill, FL
  • NPI 1205979291
  Medicare reassignment NPD Authorized official
• Anesthesiologist Associates PA

  • Anesthesiology Physician
  • Hudson, FL
  • NPI 1306889910
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1851433379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091048",
            "telephone_number": "352-596-1339",
            "fax_number": "352-596-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091048",
            "telephone_number": "352-596-1339",
            "fax_number": "352-596-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "SHYAM",
        "middle_name": "SUNDAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME0069790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250540100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Suris
• Susanne Graham
• Matthew Jonathan Suters
• Stacey Svenson
• Desiree Jenny Franco Swain, MS, CF-SLP
• Sweet Family Group Home LLC
• Synergic Healthcare Solutions LLC
• Alicia June Szilagyi, MS, CF/SLP
• Jacqueline Szydlowski, MSN,FNP-C
• Mohammed Tabbaa, MD

• Interventional Pain Medicine Physician in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.