NPIMap

Individual provider Active NPI

Yong Mei Ni, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1073796637
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME126690 Issued in FL
Practice address
400 N Ashley Dr
Ste 1625
Tampa, FL 33602-4300
Phone
(813) 289-6597
Fax
(813) 289-6592
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A1007211 FL
Internal Medicine Physician 207R00000X ME126690 FL Primary

Addresses

Primary practice location

400 N Ashley Dr
Ste 1625
Tampa, FL 33602-4300

Mailing address

3048 Dellcrest PL
Lake Mary, FL 32746-2302
Phone (407) 416-1401

Other identifiers 2

IdentifierTypeStateIssuer
IU131ZOtherFLMCARE MD PTAN
001265800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161209000929 FL Practitioner - Internal Medicine 6800921354 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126690FLMDInternal Medicine Physician
A1007211FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation Nurse Practitioner CurrentSince Feb 1, 2018 Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Jan 17, 2022 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Jan 17, 2022 Accepting new patients
Heart and Vascular Care PA PastSince Sep 1, 2011 Accepting new patients
Greater Orlando Hospitalists Internal Medicine PastSince May 1, 2006 Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

4513 Executive Dr
Fl 2
Naples, FL 34119

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1073796637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 DELLCREST PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462302",
            "telephone_number": "407-416-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ASHLEY DR",
            "address_2": "STE 1625",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024300",
            "telephone_number": "813-289-6597",
            "fax_number": "813-289-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "YONG",
        "middle_name": "MEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "A1007211",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE MD PTAN",
            "identifier": "IU131Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001265800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.