Individual provider Active NPI

Narendren Narayanasamy, MD

  • Anesthesiology Physician
  • Hallandale Beach, FL
National Provider Identifier
1982800892
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2012028529 Issued in MO
Practice address
2500 E Hallandale Beach Blvd Ste 211
Hallandale Beach, FL 33009
Phone
(888) 209-4239
Fax
(855) 490-4044
NPI assigned
Jun 26, 2007
Reactivated
Aug 25, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2012028529 MO Primary
Interventional Pain Medicine Physician 208VP0014X ME121500 FL

Addresses

Primary practice location

2500 E Hallandale Beach Blvd Ste 211
Hallandale Beach, FL 33009

Mailing address

PO Box 223187
Hollywood, FL 33022-3187
Phone (888) 209-4239

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150227000245 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 0244482412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1925 Don Wickham Dr
Clermont, FL 34711-1915
Phone (407) 807-0098

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Integrated Pain & Spine Solutions CurrentSince Mar 23, 2022 Accepting new patients
Synovation Medical Group, LLC Interventional Pain Medicine CurrentSince Jun 27, 2018 Accepting new patients
Right Path Pain and Spine Center PLLC CurrentSince Jan 1, 2015 Accepting new patients
Hughston Orthopaedic Southeast PC Past Accepting new patients

Locations

17075 Cagan Ridge Blvd
Ste 101
Clermont, FL 34714
Phone (352) 717-4377

1925 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-7411

141 Webb Dr
Ste 300
Davenport, FL 33837
Phone (863) 422-0020

2500 E Hallandale Beach Blvd
Ste 211
Hallandale Beach, FL 33009
Phone (954) 456-5533

414 Highway 466
Lady Lake, FL 32159
Phone (352) 873-1011

7000 SW 62nd Ave
Ste 535
South Miami, FL 33143
Phone (786) 268-4044

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11192/brand/4/csg/1/fhir/r4
  • Direct secure messaging: narendren.narayanasamy@462.chartlogic.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1982800892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223187",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330223187",
            "telephone_number": "888-209-4239",
            "fax_number": "855-490-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 211",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "888-209-4239",
            "fax_number": "855-490-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYANASAMY",
        "first_name": "NARENDREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "deactivation_date": "2021-07-31",
        "reactivation_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2012028529",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME121500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.