Organization Active NPI

Alfa Spine and Pain

  • Pain Medicine (Anesthesiology) Physician
  • Winter Garden, FL
National Provider Identifier
1881187102
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ALFA SPINE AND PAIN
Practice address
3724 Winter Garden Vineland Rd BLDG 2
Winter Garden, FL 34787-5483
Phone
(321) 276-6293
NPI assigned
Jun 11, 2018
Last updated
Jun 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Dr. Sandeep Pillarisetty, MD
Title
Owner/Physician
Phone
(321) 276-6293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

3724 Winter Garden Vineland Rd BLDG 2
Winter Garden, FL 34787-5483

Mailing address

3724 Winter Garden Vineland Rd BLDG 2
Winter Garden, FL 34787-5483

Other identifiers 2

IdentifierTypeStateIssuer
1548557580OtherNPI
1851667778OtherNPI

National Provider Directory

National Provider Directory

Locations

3724 Winter Garden Vineland Rd
Bldg 2
Winter Garden, FL 34787
Phone (407) 440-2728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1881187102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 WINTER GARDEN VINELAND RD BLDG 2",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 WINTER GARDEN VINELAND RD BLDG 2",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875483",
            "telephone_number": "321-276-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA SPINE AND PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "PILLARISETTY",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "321-276-6293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548557580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851667778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.