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ANITHA PARAMBEN PAILY
NPI 1306428347
Nurse Practitioner - Family in Valrico, FL

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment
83.08/100
CMS Quality Rating
2812 LAUREL LEAF DR, VALRICO, FL 33594(813) 679-9013 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anitha Paramben Paily NPPES

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

ANITHA PARAMBEN PAILY (NPI 1306428347) is an individual family provider in Valrico, Florida, licensed in Florida (11012816) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1306428347
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANITHA PARAMBEN PAILY
Location Address2812 LAUREL LEAF DRValrico, FL 33594-8700
Mailing Address2812 Laurel Leaf DrValrico, FL 33594-8700 · (813) 679-9013
Phone(813) 679-9013
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1306428347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11012816
2812 LAUREL LEAF DR, Valrico, FL 33594
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anitha Paramben Paily is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406222041
PECOS Enrollment IDI20221021002042
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 Anitha Paily reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Kidney Physicians, LLC
13 mi
Nephrology
12662 TELECOM DR
Temple Terrace, FL 33637
  • Reassigned Medicare billing, Florida enrollment
  • 210 clinicians in this Medicare group
NPI 1760831564 (813) 910-8708

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
55 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services36 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
25 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33594 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.91
Promoting Interoperability100
Improvement Activities40
Cost64.02

Reported Quality Measures

Breast Cancer Screening
0%59 patients1/55-star benchmark: 93%
Cervical Cancer Screening
3%36 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
36%22 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
60%52 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%68 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
53%68 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%281 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%143 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
90%207 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
3%206 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%118 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 183 patients
94%183 patients
Provide Patients Electronic Access to Their Health Information
75%105 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%104 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 147 patients
Patients totalRate: 1% · 147 patients
1%147 patients4/55-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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anitha Paily's NPI number?

The NPI number for Anitha Paily is 1306428347. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Anitha Paily located?

Anitha Paily practices at 2812 Laurel Leaf Dr, Valrico, FL 33594. The listed phone number is (813) 679-9013.

What is Anitha Paily's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anitha Paily enrolled in Medicare?

Yes. Anitha Paily is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anitha Paily's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anitha Paily reassigns Medicare benefits to Florida Kidney Physicians, LLC (Temple Terrace, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anitha Paily's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anitha Paily accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida and 2 other insurers list Anitha Paily as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anitha Paily affiliated with any hospitals?

According to CMS data, Anitha Paily is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Anitha Paily was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.