NPIMap

Organization Active NPI

Mobile Physician Services Inc.

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1003002759
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0086161 Issued in FL
Legal business name
MOBILE PHYSICIAN SERVICES INC.
Practice address
6804 Cecelia Dr
New Port Richey, FL 34653-4935
Phone
(727) 232-0644
Fax
(888) 546-0488
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter RadiceNPI 1356339170
Title
Medical Director
Phone
(855) 232-0644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME0086161 FL Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

6804 Cecelia Dr
New Port Richey, FL 34653-4935

Mailing address

6804 Cecelia Dr
New Port Richey, FL 34653-4935
Phone (855) 232-0644

Other practice location 1

4031 Colonel Glenn Hwy Ste 133
Beavercreek Township, OH 45431-2774
Phone (855) 232-0644

Other identifiers 7

IdentifierTypeStateIssuer
128679200MedicaidFL
K9757OtherFLPTAN
0404354MedicaidOH
K9757AOtherFLFL PTAN
000MQOtherFLBCBS GROUP
131106800MedicaidFL
MEDICARE NPIOtherFL1003002759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060505000660 FL Part B Supplier - Clinic/Group Practice 4688685654 Receives reassigned benefits from 38 practitioners
Practice locations: Largo, FL; New Port Richey, FL
O20190426000298 OH Part B Supplier - Clinic/Group Practice 4688685654 Receives reassigned benefits from 7 practitioners
Practice locations: Beavercreek Township, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2000296Mobile Physician Services Inc6804 Cecelia Dr, New Port Richey, FL 34653Certificate of waiverNov 24, 2027

National Provider Directory

National Provider Directory

Locations

2200 Seven Springs Blvd
#103
New Port Richey, FL 34655
Phone (727) 232-0644

5509 Grand Blvd
Ste 300
New Port Richey, FL 34652
Phone (727) 232-0644

4031 Colonel Glenn Hwy
Beavercreek Township, OH 45431

4031 Colonel Glenn Hwy
Ste 113
Beavercreek Township, OH 45431

4031 Colonel Glenn Hwy
Ste 133
Beavercreek Township, OH 45431
Phone (800) 488-3934

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 79

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1003002759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 CECELIA DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346534935",
            "telephone_number": "727-232-0644",
            "fax_number": "888-546-0488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4031 Colonel Glenn Hwy Ste 133",
            "address_purpose": "LOCATION",
            "city": "Beavercreek Township",
            "state": "OH",
            "postal_code": "454312774",
            "country_code": "US",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILE PHYSICIAN SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "RADICE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "855-232-0644",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0086161",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128679200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K9757",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0404354",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL PTAN",
            "identifier": "K9757A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "000MQ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131106800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1003002759",
            "identifier": "MEDICARE NPI",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.