Ansible Health Medical Group PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

ANSIBLE HEALTH MEDICAL GROUP PA

Practice address

7402 N 56TH St Ste 355
Tampa, FL 33617-7700

Phone

(877) 267-4253

NPI assigned

Sep 8, 2023

Last updated

Apr 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

RJ Aggabao

Title

Credentialing Lead

Phone

(650) 761-4724

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, PA, FL, AR, TN, IN, AK, AL, NY, NM, MI, AZ, KY, MO, IA, NC, SC, VT, RI, MA, NH, CT, WA, ME, WV, OH, ND, DE, LA, NV, TX, NE, IL, OK, MS, CO, VA37 enrollments

Enrollment records 37

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johanna M Alvarez, MSN, FNP-BC

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1588219083

  FL, NC, PA

  Medicare reassignment Care Compare group NPD
• Ajit N Chary, M.D.

  • Pulmonary Disease Physician
  • Bloomington, IL
  • NPI 1396184214

  AK, AL, AR, AZ, CO, CT, DE, FL, GA, IA, IN, Internal Medicine, KY, LA, MA, ME, MI, MO, MS, NC, ND, NE, NH, NM, NV, NY, OH, OK, PA, RI, SC, TN, TX, VA, VT, WA, WV

  Medicare reassignment Care Compare group NPD
• Audra Lisa Doyle, NP-C

  • Adult Health Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1417347451

  CT, FL, GA, IA, IL, KY, MI, MS, NC, NH, NY, OK, PA, TN, TX, VT, WV

  Medicare reassignment Care Compare group NPD
• Diane Nicole Shilling, ARNP

  • Family Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1609236850

  AZ, FL, NC, OH, PA, TN

  Medicare reassignment Care Compare group NPD
• Steven S Winiarski, DO

  • Family Medicine Physician
  • New York, NY
  • NPI 1033270988

  AK, AL, AR, AZ, CO, CT, DE, FL, GA, IA, IL, IN, KY, MA, ME, MI, MS, NC, ND, NE, NH, NM, NV, OH, OK, PA, RI, SC, TN, TX, VA, VT, WA, WV

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1093592644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 E BRANDON BLVD # 4253",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 N 56TH ST STE 355",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177700",
            "telephone_number": "877-267-4253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6907 Page Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631331507",
            "country_code": "US",
            "telephone_number": "877-267-4253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 W Grant St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176033707",
            "country_code": "US",
            "telephone_number": "877-267-4253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 S Canal St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606075058",
            "country_code": "US",
            "telephone_number": "877-267-4253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 West 5th Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43204",
            "country_code": "US",
            "telephone_number": "877-267-4253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANSIBLE HEALTH MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "AGGABAO",
        "authorized_official_first_name": "RJ",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "650-761-4724"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.