Primecare Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME35878 Issued in FL

Legal business name

PRIMECARE MEDICAL GROUP

Practice address

8521 N Armenia Ave
Tampa, FL 33604-2540

Phone

(813) 932-0996

Fax

(813) 932-0266

NPI assigned

Jul 31, 2006

Last updated

Aug 22, 2020By 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

Raul Revello, M.D.

Title

Medical Director

Phone

(813) 932-0996

Specialties & licenses 1

Addresses

Tax ID family

Verimed Health Group Carrollwood LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Primecare Medical Group LLC

  dba Primecare Medical of Land o Lakes

  • Internal Medicine Physician
  • Land O' Lakes, FL
  • NPI 1932339926
  NPD tax ID
• Verimed Health Group Carrollwood, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1336268788
  NPD tax ID

Locations (25 of 64)

Practitioners 185

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.

• Rahul Kurian Abraham, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orange, CA
  • NPI 1740713882
  NPD (past)
• Nahel Al Bouz, M.D.

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1326235136
  NPD (past)
• Abdalhamid Al Harash, M.D., FACP

  • Rheumatology Physician
  • Loma Linda, CA
  • NPI 1962790618

  Internal Medicine

  NPD (past)
• Hussain Al-Darsani, M.D.

  • Gastroenterology Physician
  • Chino, CA
  • NPI 1669429775

  Internal Medicine

  NPD (past)
• Jackson Sanchez Alparce Jr., M/D.

  • Family Medicine Physician
  • Chino, CA
  • NPI 1427162437
  NPD (past)
• Farah A Ameeri, D.O.

  • Family Medicine Physician
  • Chino, CA
  • NPI 1023054699
  NPD (past)
• Jay S Amin, MD

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1568564193
  NPD (past)
• Sushil Prabakaran Anand, M.D.

  • General Practice Physician
  • Upland, CA
  • NPI 1548444250
  NPD (past)
• Tiffany Anderson Terrell, DO

  • Family Medicine Physician
  • Chino Hills, CA
  • NPI 1629188404
  NPD (past)
• Melody L Angeles-Riparip, M.D.

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1093752248
  NPD (past)
• Htoo Htoo Aung, MD

  • Internal Medicine Physician
  • Monterey Park, CA
  • NPI 1942615075
  NPD (past)
• Andrew Awadalla, MD

  • Obstetrics & Gynecology Physician
  • Los Alamitos, CA
  • NPI 1548503246
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093720427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042540",
            "telephone_number": "813-932-0996",
            "fax_number": "813-932-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042540",
            "telephone_number": "813-932-0996",
            "fax_number": "813-932-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REVELLO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-932-0996",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME35878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Physical Therapy Inc
• Prime Physical Therapy, Inc.
• Prime RX LLC
• Sara Primeau
• Primecare Gandy, LLC
• Primecare North Tampa LLC
• Primecare South Tampa, LLC
• Primecare, LLC
• Primelife Health LLC
• Primera Health Center Inc

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.