Individual provider Active NPI

Jean Fils, MD

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1063570414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME97353 Issued in FL
Practice address
3535 E. Fletcher Ave.
Usf Psychiatry
Tampa, FL 33613
Phone
(813) 974-8900
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME97353 FL Primary

Addresses

Primary practice location

3535 E. Fletcher Ave.
Usf Psychiatry
Tampa, FL 33613

Mailing address

14630 Grenadine Dr
#1
Tampa, FL 33613-2911

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
I20070419000102 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4789694241 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME97353FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Service Association Inc Current Accepting new patients
University Medical Service Association Inc Psychiatry CurrentSince Jun 28, 2007 Accepting new patients
University Medical Service Association Inc CurrentSince Jun 28, 2007 Accepting new patients

Locations

12901 Bruce B Downs Blvd
#62
Tampa, FL 33612

3515 E Fletcher Ave
#14
Tampa, FL 33613
Phone (813) 974-8900

12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063570414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14630 GRENADINE DR",
            "address_2": "#1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E. FLETCHER AVE.",
            "address_2": "USF PSYCHIATRY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-974-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILS",
        "first_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME97353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.