Individual provider Active NPI

Carolyn Schroeder Connelly, M.D.

  • Rheumatology Physician
  • Tampa, FL
National Provider Identifier
1083712418
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
51168 Issued in FL
Practice address
110 S Macdill Ave Ste 300
Tampa, FL 33609-3589
Phone
(813) 870-2100
Fax
(813) 922-2007
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 51168 FL Primary

Addresses

Primary practice location

110 S Macdill Ave Ste 300
Tampa, FL 33609-3589

Mailing address

110 S Macdill Ave Ste 300
Tampa, FL 33609-3589
Phone (813) 870-2100

Other practice location 1

2111 W Swann Ave Ste 102
Tampa, FL 33606-2478
Phone (813) 870-2100

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
I20101020001589 FL Practitioner - Rheumatology 2466645502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Florida College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

110 S Macdill Ave
Suite 300
Tampa, FL 33609-3129

110 S Macdill Ave
Suite 300
Tampa, FL 33609-3589
Phone (813) 870-2100

2919 W Swann Ave
Suite 404
Tampa, FL 33609-4033

3411 S Dale Mabry Hwy
Suite a Select Physical Therapy
Tampa, FL 33629-8658
Phone (813) 742-9501

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

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
51168FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolyn Schroeder Connelly MD PA CurrentSince Jul 14, 2010 Accepting new patients

Locations

110 S Macdill Ave
Ste 300
Tampa, FL 33609
Phone (813) 331-4465

2919 W Swann Ave
Ste 404
Tampa, FL 33609
Phone (813) 773-0579

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 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1083712418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MACDILL AVE STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093589",
            "telephone_number": "813-870-2100",
            "fax_number": "813-922-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MACDILL AVE STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093589",
            "telephone_number": "813-870-2100",
            "fax_number": "813-922-2007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 W Swann Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336062478",
            "country_code": "US",
            "telephone_number": "813-870-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "CAROLYN",
        "middle_name": "SCHROEDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "51168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.