Individual provider Active NPI

Tali B Wojnowich, MD

  • Pediatrics Physician
  • St Petersburg, FL
National Provider Identifier
1003144981
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME127600 Issued in FL
Practice address
700 6TH St S FL 2
St Petersburg, FL 33701-4815
Phone
(727) 893-6785
Fax
(727) 893-6786
NPI assigned
Dec 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME127600 FL Primary

Addresses

Primary practice location

700 6TH St S FL 2
St Petersburg, FL 33701-4815

Mailing address

700 6TH St S FL 2
St Petersburg, FL 33701-4815
Phone (727) 893-6785

Other practice location 1

1845 Veterans Park Dr Ste 260
Naples, FL 34109-0494
Phone (239) 624-0570

Other identifiers 2

IdentifierTypeStateIssuer
017670700MedicaidFL
IQ062ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160804000723 FL Practitioner - Pediatric Medicine 6406140094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME127600FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd Inc CurrentSince Aug 1, 2016 Accepting new patients
Nchmd, Inc CurrentSince Aug 1, 2016 Accepting new patients
Stephen G. Nelson, M.D., PA Pediatrics Past Accepting new patients

Locations

1845 Veterans Park Dr
Ste 260
Naples, FL 34109
Phone (239) 624-0570

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1003144981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 6TH ST S FL 2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014815",
            "telephone_number": "727-893-6785",
            "fax_number": "727-893-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 6TH ST S FL 2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014815",
            "telephone_number": "727-893-6785",
            "fax_number": "727-893-6786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 Veterans Park Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341090494",
            "country_code": "US",
            "telephone_number": "239-624-0570",
            "fax_number": "239-254-7959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOJNOWICH",
        "first_name": "TALI",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME127600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017670700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IQ062Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.