Individual provider Active NPI

Ashish Udeshi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Melbourne, FL
National Provider Identifier
1891968079
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME113390 Issued in FL
Practice address
5545 N Wickham Rd Ste 104
Melbourne, FL 32940-7323
Phone
(321) 784-8211
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Miami, LM Miller School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Pain Relief Center Inc 33 clinicians

Practice addresses (Care Compare)

490 Centre Lake Nedr
200B
Palm Bay, FL 32907-1113
Phone (321) 784-8211

Hospital & facility affiliations

  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100Reported as group
Promoting interoperability
78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

Medicare participation

Medicare enrollment files
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20130913000372 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9638313687 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Tampa Pain Relief Center, Inc. CurrentSince Jul 27, 2015 Accepting new patients

Locations

325 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 585-0263

5545 N Wickham Rd
Ste 104
Melbourne, FL 32940
Phone (321) 784-8211

595 N Courtenay Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 784-8211

595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800

595 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 784-8211

490 Centre Lake Dr NE
Ste 200B
Palm Bay, FL 32907
Phone (321) 784-8211

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ashishudeshi@tpii.allscriptsdirect.net
  • Direct secure messaging: ashish.udeshi.p2@direct.painreliefcenters.nextgenshare.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME113390 FL
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X ME113390 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

5545 N Wickham Rd Ste 104
Melbourne, FL 32940-7323

Mailing address

5545 N Wickham Rd Ste 104
Melbourne, FL 32940-7323
Phone (321) 784-8211

Other practice location 1

595 N Courtenay Pkwy
Suite 101
Merritt Island, FL 32953-4851
Phone (321) 784-8211

Other practice location 2

490 Centre Lake Dr NE Ste 200B
Palm Bay, FL 32907-1189
Phone (321) 784-8211

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
14RP9OtherFLBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2022.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1891968079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 N WICKHAM RD STE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407323",
            "telephone_number": "321-784-8211",
            "fax_number": "321-394-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 N WICKHAM RD STE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407323",
            "telephone_number": "321-784-8211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 N Courtenay Pkwy",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534851",
            "country_code": "US",
            "telephone_number": "321-784-8211",
            "fax_number": "321-394-9429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "490 Centre Lake Dr NE Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329071189",
            "country_code": "US",
            "telephone_number": "321-784-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDESHI",
        "first_name": "ASHISH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME113390",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME113390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14RP9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.