Individual provider Active NPI

Keith Eric Sommers, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tampa, FL
National Provider Identifier
1093721623
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME74265 Issued in FL
Practice address
5 Tampa General Cir Ste 860
Tampa, FL 33606-3573
Phone
(813) 660-6950
Fax
(813) 660-6622
NPI assigned
Aug 1, 2006
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME74265 FL Primary

Addresses

Primary practice location

5 Tampa General Cir Ste 860
Tampa, FL 33606-3573

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 660-6950

Other identifiers 2

IdentifierTypeStateIssuer
32184OtherFLBLUE CROSS BLUE SHIELD
250809500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esommers8351@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
I20040120000131 FL Practitioner - Thoracic Surgery 6709787013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of South Florida College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

5 Tampa General Cir
Tampa, FL 33606-3601
Phone (813) 844-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Oct 22, 2018 Accepting new patients
Tampa General Provider Network Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2021 Accepting new patients
Tampa General Medical Group Inc CurrentSince Oct 22, 2018 Accepting new patients
Tampa General Provider Network Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients
University Medical Service Association Inc Past Accepting new patients
Florida Health Sciences Center Inc Past Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

409 Bayshore Blvd
Tampa, FL 33606
Phone (813) 253-2640

5 Tampa General Cir
Tampa, FL 33606
Phone (813) 251-0793

5 Tampa General Cir
Ste 860
Tampa, FL 33606
Phone (561) 655-4344

1201 N Olive Ave
West Palm Beach, FL 33401
Phone (561) 621-0012

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1093721623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-660-6950",
            "fax_number": "813-660-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TAMPA GENERAL CIR STE 860",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063573",
            "telephone_number": "813-660-6950",
            "fax_number": "813-660-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERS",
        "first_name": "KEITH",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME74265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32184",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250809500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esommers8351@direct.tgh.org",
            "affiliation": "N",
            "address_1": "5 Tampa General Cir Ste 860",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.