Individual provider Active NPI

Jay A Reichbach, M.D.

  • Anesthesiology Physician
  • Tampa, FL
National Provider Identifier
1023089620
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME68278 Issued in FL
Practice address
4211 W Boy Scout Blvd
Suite 400
Tampa, FL 33607-5724
Phone
(855) 485-3262
Fax
(813) 443-8255
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME68278 FL Primary
Anesthesiology Physician 207L00000X 270089-1 NY
Anesthesiology Physician 207L00000X 2011-01321 NC

Addresses

Primary practice location

4211 W Boy Scout Blvd
Suite 400
Tampa, FL 33607-5724

Mailing address

4211 W Boy Scout Blvd
Ste 400
Tampa, FL 33607-5766
Phone (352) 302-0425

Other identifiers 3

IdentifierTypeStateIssuer
50042858OtherFLMEDICARE RAILROAD
27061OtherFLBCBS OF FLORIDA
03631252MedicaidNY

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
I20080404000733 FL Practitioner - Anesthesiology 3072597418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulfcoast Spine Institute, LLCGroup PAC ID 0749226215, 10 clinicians

Practice addresses (Care Compare)

4211 W Boy Scout Blvd
Suite 400 Biopsine Tampa
Tampa, FL 33607-5766
Phone (813) 443-2108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-01321NCMDAnesthesiology Physician
270089-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Tampa Anesthesia Consultants Anesthesiology CurrentSince Nov 28, 2011 Accepting new patients
Inspire Home Health Care LLC Current Accepting new patients
Inspire Home Healthcare LLC CurrentSince Sep 25, 2019 Accepting new patients
Robert Ulseth LLC Past Accepting new patients
Physician Providers Group PA PastSince Jul 9, 2023 Accepting new patients

Locations

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Inspire Home Healthcare LLCTampa, FL, CCN 687278 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
Feb 13, 2018
Feb 18, 2023
Inspire Home Healthcare LLCNew Port Richey, FL, CCN 687383 Home health agency 5% Or Greater Direct Ownership Interest (50%) Sep 25, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1023089620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 W BOY SCOUT BLVD",
            "address_2": "STE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075766",
            "telephone_number": "352-302-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 W BOY SCOUT BLVD",
            "address_2": "SUITE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075724",
            "telephone_number": "855-485-3262",
            "fax_number": "813-443-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHBACH",
        "first_name": "JAY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME68278",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "270089-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2011-01321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "50042858",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "27061",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03631252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.