NPIMap

Organization Active NPI

Tampa Bay Pulmonary Associates,P.a.

  • Specialist
  • Tampa, FL
National Provider Identifier
1013947282
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TAMPA BAY PULMONARY ASSOCIATES,P.A.
Practice address
2810 W Waters Ave
Tampa, FL 33614-1853
Phone
(813) 935-5501
Fax
(813) 933-8784
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Ashok K Modh, M.D.NPI 1578592556
Title
President
Phone
(813) 935-5501

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2810 W Waters Ave
Tampa, FL 33614-1853

Mailing address

2810 W Waters Ave
Tampa, FL 33614-1853
Phone (813) 935-5501

Other identifiers 3

IdentifierTypeStateIssuer
053742000MedicaidFL
C12157OtherFLRR MEDICARE
72916OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040910000601 FL Part B Supplier - Clinic/Group Practice 6002883055 Receives reassigned benefits from 8 practitioners
Practice locations: Riverview, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

6901 Simmons Loop
Ste 207
Riverview, FL 33578
Phone (813) 868-3052

2810 W Waters Ave
Tampa, FL 33614
Phone (813) 935-5501

2810 W Waters Ave
Ste 205
Tampa, FL 33614

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHIHBA

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1013947282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141853",
            "telephone_number": "813-935-5501",
            "fax_number": "813-933-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141853",
            "telephone_number": "813-935-5501",
            "fax_number": "813-933-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY PULMONARY ASSOCIATES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MODH",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-935-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053742000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C12157",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "72916",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.