GTBA Pain Van Dyke – Pain Medicine (Anesthesiology) Physician, NPI 1225365489

GTBA Pain Van Dyke is a healthcare provider. based in Tampa, Florida. specializing in Pain Medicine (Anesthesiology) Physician. The NPI Number for GTBA Pain Van Dyke is 1225365489

Main info

Organization
Name
GTBA Pain Van Dyke
NPI
1225365489
Phone
(813) 844-4396
Address
809 S ALBANY AVE
Authorized Official
DEVANAND MANGAR CEO/PRESIDENT MD
Enumeration Date
9 November 2009
Last Update Date
27 April 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness80
Years active:16State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for GTBA Pain Van Dyke

  • 809, South Albany Avenue, Amelia, Hyde Park, Tampa, Hillsborough County, Florida, 33606, United States

    TAMPA, FL 336062407

    Phone: (813) 844-4396

    Fax: (813) 844-4972

    Type: Mailing

  • Van Dyke Road, Lutz, Hillsborough County, Florida, 33548, United States

    LUTZ, FL 335584813

    Phone: (813) 253-2273

    Fax: (813) 253-2279

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33606)

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Reviews

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Frequently asked questions

What number should I use to identify GTBA Pain Van Dyke for billing?
Administrative and clinical systems typically use NPI 1225365489 for GTBA Pain Van Dyke.
Is GTBA Pain Van Dyke's NPI status active today?
Active status means GTBA Pain Van Dyke's NPI record is not deactivated in the public file.
What type of care does GTBA Pain Van Dyke provide?
GTBA Pain Van Dyke's profile centers on Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GTBA Pain Van Dyke?
GTBA Pain Van Dyke is associated with Tampa, Florida in the same public data insurers reference.
Can I export GTBA Pain Van Dyke's record?
You can download the official NPPES record; we summarize key fields for readability.

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