Rudolfo A Panganiban, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

ME0082528 Issued in FL

Practice address

4807 US Highway 19 Ste 102
New Port Richey, FL 34652-4260

Phone

(727) 846-7618

Fax

(727) 849-7090

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

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

Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management

Education

University of South Florida College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Pain Management Partners LLPGroup PAC ID 4981619053, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.95 of 100Reported as individual

Quality

68.47

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: rudolfo.panganiban.1@8211.direct.athenahealth.com

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.

• Comprehensive Pain Management Partners LLP

  • Interventional Pain Medicine Physician
  • New Port Richey, FL
  • NPI 1295771731
  Medicare reassignment Care Compare group
• RP Medical LLP

  • Assisted Living Facility
  • Orlando, FL
  • NPI 1780665422
  NPD

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1982671392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19 STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524260",
            "telephone_number": "727-846-7618",
            "fax_number": "727-849-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19 STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524260",
            "telephone_number": "727-846-7618",
            "fax_number": "727-849-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14028 5th St",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "335254311",
            "country_code": "US",
            "telephone_number": "352-567-2700",
            "fax_number": "352-567-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 Venetia Bay Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342858051",
            "country_code": "US",
            "telephone_number": "941-488-5366",
            "fax_number": "941-488-2167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11361 Countryway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336262610",
            "country_code": "US",
            "telephone_number": "813-262-1117",
            "fax_number": "813-262-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANGANIBAN",
        "first_name": "RUDOLFO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME0082528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116236900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palumbo Wellness LLC
• Stephanie A Paluzzi, PA-C
• Pan American Medical Associates
• Panacea Health & Wellness LLC
• Panacea Therapy Co Inc
• Usha Somasundara Panicker, MD
• Vicki D Papaemanuel, PH.D.
• Anthony George Pappas, O.D.
• Wendy Paracka, APRN
• Paragon Community Healthcare Inc

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.