DR. GAYAN POOVENDRAN MD
NPI 1083935100
Family Medicine - Sports Medicine in Davie, FL

Q: What is Gayan Poovendran's NPI number?

The NPI number for Gayan Poovendran is 1083935100. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Q: What is Gayan Poovendran's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Gayan Poovendran was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2010PECOS Enrolled

10650 W STATE ROAD 84 STE 111, DAVIE, FL 33324(305) 209-1951 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Feb 14, 2020, Feb 3, 2016 (3 updates tracked since 2016).

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About Dr. Gayan Poovendran Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAYAN POOVENDRAN MD (NPI 1083935100) is an individual sports medicine provider in Davie, Florida, licensed in Florida (ME121381) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083935100

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. GAYAN POOVENDRANCredential: MD

Location Address10650 W STATE ROAD 84 STE 111Davie, FL 33324-4235

Mailing AddressPo Box 162743Altamonte Springs, FL 32716-2743 · (954) 580-4084 · Fax (954) 530-5096

Phone(305) 209-1951

Sole ProprietorNo

Enumeration DateJune 14, 2010

Last NPPES UpdateApril 7, 20253 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1083935100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in FL · ME121381

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

10650 W STATE ROAD 84 STE 111, Davie, FL 33324

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gayan Poovendran Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gayan Poovendran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Usa Sports Medicine LLC

25 mi

Physical Medicine & Rehabilitation

404 WASHINGTON AVE STE 120
Miami Beach, FL 33139

Reassigned Medicare billing, Florida enrollment
18 clinicians in this Medicare group

NPI 1639700370 (305) 395-9599

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pain Assessment and Follow-Up

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present

100%3,674 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA ISABEL GUARDIA DPT, PT

Physical Therapist