Ketamine Wellness Institute of Jacksonville Beach, LLC
NPI 1487471918ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Jacksonville Beach, FL
Pain Medicine, Interventional Pain Medicine in Jacksonville Beach, Florida, registered in NPPES in September 2024. The authorized official on file is Sathavaram Reddy, MD, Owner.
Overview
| NPI | 1487471918 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2024 |
| Last updated in NPPES | Sep 25, 2024 |
| Certified by provider | Sep 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pain Medicine, Interventional Pain Medicine providers in Jacksonville Beach
- 1417309832
- 1801021787
- 1356791743
All Pain Medicine, Interventional Pain Medicine providers in Florida →