NPIMap

Individual provider Active NPI

Pankajkumar K Joshi, MD

  • Internal Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1871696195
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77230 Issued in FL
Practice address
2595 Tampa Road
Suite D
Palm Harbor, FL 34684
Phone
(727) 773-8884
Fax
(727) 784-5449
NPI assigned
Sep 6, 2006
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME77230 FL Primary

Addresses

Primary practice location

2595 Tampa Road
Suite D
Palm Harbor, FL 34684

Mailing address

2595 Tampa Road
Suite D
Palm Harbor, FL 34684
Phone (727) 773-8884

Other identifiers 1

IdentifierTypeStateIssuer
258707600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001300 FL Practitioner - Internal Medicine 1557341419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

2595 Tampa Rd
Suite D
Palm Harbor, FL 34684-3130
Phone (727) 773-8884

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77230FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Internal Medicine PA Internal Medicine CurrentSince Apr 1, 2000 Accepting new patients
Pinellas Nursing Home PA Internal Medicine PastSince Apr 1, 2000 Accepting new patients
Elias Kanaan MD PA Internal Medicine PastSince Aug 20, 2001 Accepting new patients
Hemant N Shah MD LLC Internal Medicine PastSince Aug 18, 1999 Accepting new patients

Locations

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

Interoperability endpoints

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

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1871696195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 TAMPA ROAD",
            "address_2": "SUITE 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 ROAD",
            "address_2": "SUITE D",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-773-8884",
            "fax_number": "727-784-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "PANKAJKUMAR",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258707600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.