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DR. RAJ BHARAT PADALIA M.D.
NPI 1366705683
Anesthesiology - Pain Medicine in Tampa, FL

Active since June 21, 2012PECOS Enrolled
13000 BRUCE B DOWNS BLVD STE 127, TAMPA, FL 33612(813) 972-2000 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 25, 2017 (3 updates tracked since 2017).

About Dr. Raj Bharat Padalia M.d. NPPES

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

DR. RAJ BHARAT PADALIA M.D. (NPI 1366705683) is an individual pain medicine provider in Tampa, Florida, licensed in Florida (ME131388) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1366705683
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. RAJ BHARAT PADALIACredential: M.D.
Location Address13000 BRUCE B DOWNS BLVD STE 127Tampa, FL 33612-4745
Mailing Address13000 Bruce B Downs Blvd Ste 127Tampa, FL 33612-4745 · (813) 972-2000
Phone(813) 972-2000
Sole ProprietorNo
Enumeration DateJune 21, 2012
Last NPPES UpdateJuly 21, 20253 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1366705683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in FL · ME131388
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
13000 BRUCE B DOWNS BLVD STE 127, Tampa, FL 33612
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Secondary Practice Location 1

Location 14509 N Armenia AveTampa, FL 33603-2703 · Phone (813) 873-7777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raj Bharat Padalia M.d. 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 Raj Padalia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain & Wellness Institute PA
5.7 mi
Interventional Pain Medicine
4509 N ARMENIA AVE
Tampa, FL 33603
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1558553180 (813) 873-7777

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

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

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
13%38 patients1/55-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 Raj Padalia's NPI number?

The NPI number for Raj Padalia is 1366705683. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Raj Padalia located?

Raj Padalia practices at 13000 Bruce B Downs Blvd Ste 127, Tampa, FL 33612. The listed phone number is (813) 972-2000.

What is Raj Padalia's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Raj Padalia enrolled in Medicare?

Yes. Raj Padalia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raj Padalia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raj Padalia reassigns Medicare benefits to Pain & Wellness Institute PA (Tampa, 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 Raj Padalia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raj Padalia accept?

Health plans from AvMed, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Raj Padalia 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.

When was this NPI record last updated?

The NPPES record for Raj Padalia was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.