Organization Active NPI

Apollo Pain Care LLC

  • Interventional Pain Medicine Physician
  • Miami, FL
National Provider Identifier
1902271182
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME0098251 Issued in FL
Legal business name
APOLLO PAIN CARE LLC
Practice address
7000 SW 97TH Ave Ste 214
Miami, FL 33173-1492
Phone
(786) 858-8577
Fax
(786) 780-2500
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Padmaja R Yartham, M.D.
Title
President/Physician
Phone
(786) 858-8577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X ME0098251 FL Primary

Addresses

Primary practice location

7000 SW 97TH Ave Ste 214
Miami, FL 33173-1492

Mailing address

7000 SW 97TH Ave Ste 214
Miami, FL 33173-1492
Phone (786) 858-8577

Other identifiers 1

IdentifierTypeStateIssuer
95717OtherFLBLUE CROSS

Other names 1

  • APOLLO PAIN CARE LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160601002551 FL Part B Supplier - Clinic/Group Practice 2769772854 Receives reassigned benefits from 1 practitioner
Practice locations: Miramar, FL; Miami, FL
O20171204001748 FL DME Supplier - Physician - General Practice 2769772854 Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2107220Apollo Pain Care LLC7000 SW 97TH Ave Suite 214, Miami, FL 33173Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory

Locations

13055 SW 42nd St
Ste 105
Miami, FL 33175
Phone (305) 207-2500

Practitioners & affiliated clinicians

Practitioners 1

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": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1902271182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731492",
            "telephone_number": "786-858-8577",
            "fax_number": "786-780-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731492",
            "telephone_number": "786-858-8577",
            "fax_number": "786-780-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO PAIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "YARTHAM",
        "authorized_official_first_name": "PADMAJA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "786-858-8577",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME0098251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "95717",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APOLLO PAIN CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "APOLLO PAIN CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.