Advanced Pain Management Inc – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1740385350
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Advanced Pain Management Inc
11946 Boyette Rd
Riverview, FL 335695601
Phone: (813) 388-2948
Fax: (813) 574-7761
Type: Location
508 S Habana Ave Ste 360
Tampa, FL 336094192
Phone: (813) 388-2948
Fax: (813) 388-6827
Type: Location
2805 54th Ave N
St Petersburg, FL 337142414
Phone: (813) 388-2948
Fax: (813) 388-6827
Type: Location
428 W Brandon Blvd
Brandon, FL 335115002
Phone: (813) 388-2948
Fax: (813) 388-6827
Type: Location
27810 Summergate Blvd
Wesley Chapel, FL 335446919
Phone: (813) 388-2948
Fax: (813) 388-6827
Type: Location
7550 N Dale Mabry Hwy Ste B
Tampa, FL 336143226
Phone: (813) 388-2948
Fax: (813) 249-0821
Type: Location
38011 Arbor Ridge Dr
Zephyrhills, FL 335401301
Phone: (813) 395-5127
Fax: (813) 355-3085
Type: Location
780 Dunlawton Ave Ste 103
Port Orange, FL 321274252
Phone: (386) 671-0600
Fax: (386) 677-6631
Type: Location
325, Clyde Morris Boulevard, Ormond Beach, Volusia County, Florida, 32174, United States
STE 400
ORMOND BEACH, FL 321748178
Phone: (386) 671-0600
Fax: (386) 677-9710
Type: Mailing
27810 SUMMERGATE BLVD
WESLEY CHAPEL, FL 335446919
Phone: (813) 388-2948
Fax: (813) 388-6827
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (14 days ago).
Enrollment records
2
Earliest due date
2026-05-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20071220000099 | O | Clinic/Group Practice | FL | TBD |
| O20140807001254 | O | Physician - Interventional Pain Management | FL | 2026-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 33569)
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