Individual provider Active NPI

Annilea Gunn, MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1043286479
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100189 Issued in FL
Practice address
15260 Amberly Dr
Tampa, FL 33647-2136
Phone
(813) 975-1727
Fax
(813) 355-5032
NPI assigned
Feb 25, 2006
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME100189 FL Primary

Addresses

Primary practice location

15260 Amberly Dr
Tampa, FL 33647-2136

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 528-4975

Other identifiers 2

IdentifierTypeStateIssuer
P00792578OtherFLRR MEDICARE
280582100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080404000684 FL Practitioner - Family Practice 3577640291 Reassigns benefits to 2 organizations
I20250310003086 OH Practitioner - Family Practice 3577640291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3156 Dustin Rd
Suite 100
Oregon, OH 43616-4300
Phone (855) 830-8346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100189FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Vascular Centers of Miami, PLLC CurrentSince Jun 14, 2024 Accepting new patients
Center for Vein Restoration Oh LLC CurrentSince Feb 24, 2025 Accepting new patients
USA Vein Clinics of Miami, LLC CurrentSince Sep 25, 2023 Accepting new patients
Florida Vein Care Specialists, LLC CurrentSince Dec 1, 2022 Accepting new patients
Center for Vein Restoration Oh LLC CurrentSince Feb 24, 2025 Accepting new patients
Florida Vein Care Specialists LLC CurrentSince Dec 1, 2022 Accepting new patients
USA Vascular Centers of Miami PLLC CurrentSince Jun 14, 2024 Accepting new patients
General Surgery Associates LLC Past Accepting new patients
Bond Urgent Care LLC Past Accepting new patients
Vascular Anesthesia Associates PLLC PastSince Jun 14, 2024 Accepting new patients
USA Vein Clinics of Miami, LLC PastSince Feb 19, 2023 Accepting new patients

Locations

1711 E Hallandale Beach Blvd
Ste A
Hallandale Beach, FL 33009
Phone (954) 688-3968

13241 Bartram Park Blvd
Unit 801
Jacksonville, FL 32258
Phone (904) 446-9191

13940 N US Highway 441
Ste 500
Lady Lake, FL 32159
Phone (352) 218-8638

2955 Pineda Plaza Way
Ste 121
Melbourne, FL 32940
Phone (321) 252-3027

3399 NW 72nd Ave
Ste 101A
Miami, FL 33122
Phone (786) 698-8734

7975 Lake Underhill Rd
Ste 240
Orlando, FL 32822
Phone (407) 265-2042

4900 95th Ave N
Pinellas Park, FL 33782
Phone (727) 546-4400

4900 95th Ave N
Ste C
Pinellas Park, FL 33782
Phone (727) 475-7751

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

5175 Morse Rd
Ste 150
Gahanna, OH 43230

2065 Stringtown Rd
Grove City, OH 43123
Phone (614) 271-0642

3156 Dustin Rd
Ste 100
Oregon, OH 43616
Phone (312) 718-3051

7640 Sylvania Ave
Ste F
Sylvania, OH 43560
Phone (855) 565-8346

Interoperability endpoints

  • Direct secure messaging: annilea.gunn.p1@direct.bondclinicpa.nextgenshare.com
  • Direct secure messaging: annilea.gunnmd.p3@direct.cvr.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/7464/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1043286479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-528-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472136",
            "telephone_number": "813-975-1727",
            "fax_number": "813-355-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "ANNILEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-25",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00792578",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280582100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.