Individual provider Active NPI

James P Gillen, M.D.

  • Emergency Medicine Physician
  • Tampa, FL
National Provider Identifier
1073600532
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME100819 Issued in FL
Practice address
1 Davis Blvd Ste 504
Tampa, FL 33606-3403
Phone
(813) 627-5931
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME100819 FL Primary

Addresses

Primary practice location

1 Davis Blvd Ste 504
Tampa, FL 33606-3403

Mailing address

1 Davis Blvd Ste 504
Tampa, FL 33606-3403
Phone (813) 627-5931

Other identifiers 1

IdentifierTypeStateIssuer
T48062MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgillen6997@direct.tgh.org

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
I20080521000787 FL Practitioner - Emergency Medicine 9830174259 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100819FLMDEmergency Medicine Physician
20731SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Service Association Inc CurrentSince Jun 18, 2025 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
University Medical Service Association Inc CurrentSince Jun 18, 2025 Accepting new patients
Tampa General Hospital Current Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Mar 1, 2008 Accepting new patients
Prisma Health-Midlands Past Accepting new patients

Locations

5802 N 30th St
Rm HS171
Tampa, FL 33610
Phone (813) 844-7100

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Interoperability endpoints

  • Direct secure messaging: jgillen6997@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1073600532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DAVIS BLVD STE 504",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063403",
            "telephone_number": "813-627-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAVIS BLVD STE 504",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063403",
            "telephone_number": "813-627-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME100819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T48062",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgillen6997@direct.tgh.org",
            "affiliation": "N",
            "address_1": "1 Davis Blvd Ste 504",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.