Individual provider Active NPI

Thomas Scott Gennara, P.A.-C.

  • Surgical Physician Assistant
  • Brandon, FL
National Provider Identifier
1033209754
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1808 Issued in FL
Practice address
270 S Moon Ave
Brandon, FL 33511-5711
Phone
(813) 571-9988
Fax
(813) 571-9922
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA1808 FL Primary

Addresses

Primary practice location

270 S Moon Ave
Brandon, FL 33511-5711

Mailing address

6006 49TH St N
Ste 310
St Petersburg, FL 33709-2148
Phone (727) 490-5040

Other identifiers 2

IdentifierTypeStateIssuer
P01320498OtherFLRR MEDICARE
009471200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address THOMAS.GENNARA@hca4.eclinicaldirectplus.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000268 FL Practitioner - Physician Assistant 5799927737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

615 Vonderburg Dr
Brandon, FL 33511-5972
Phone (813) 571-9988

Hospital & facility affiliations

  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
73.64
Promoting interoperability
99
Improvement activities
40
Cost
68.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1033209754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 49TH ST N",
            "address_2": "STE 310",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092148",
            "telephone_number": "727-490-5040",
            "fax_number": "727-490-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115711",
            "telephone_number": "813-571-9988",
            "fax_number": "813-571-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNARA",
        "first_name": "THOMAS",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA1808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01320498",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009471200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "THOMAS.GENNARA@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "270 S Moon Ave",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.