Individual provider Active NPI

Roberto Garcia, M.D.

  • Allergy & Immunology Physician
  • Tampa, FL
National Provider Identifier
1104850692
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
46917 Issued in FL
Practice address
10940 Sheldon Rd
Tampa, FL 33626
Phone
(813) 926-4058
Fax
(813) 926-9872
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 46917 FL Primary

Addresses

Primary practice location

10940 Sheldon Rd
Tampa, FL 33626

Mailing address

PO Box 262186
Tampa, FL 33685-2186
Phone (813) 926-4058

Other identifiers 8

IdentifierTypeStateIssuer
263128800MedicaidFL
30869OtherFLBLUE CROSS BLUE SHIELD
38518OtherFLBLUE CROSS GROUP
083117OtherFLAVMED
261980600MedicaidFL
1727572OtherFLCIGNA
2051099OtherFLAETNA
59-3541427OtherFLTAX IDENTIFICATION

Other names 1

  • Dr. Roberto Garcia Professional name

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
I20101118000549 FL Practitioner - Allergy/Immunology 3274436167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10940 Sheldon Rd
Tampa, FL 33626-4701
Phone (813) 926-4058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46917FLMDAllergy & Immunology Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients
Roberto Garcia MD PA Allergy & Immunology CurrentSince Sep 1, 2001 Accepting new patients
Potens Allergy LLC Current Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

21754 State Road 54
#102A
Lutz, FL 33549
Phone (813) 926-4058

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

508 S Habana Ave
Ste 102
Tampa, FL 33609
Phone (813) 873-9010

10940 Sheldon Rd
Tampa, FL 33626
Phone (813) 926-4058

508 S Habana Ave
Ste 210
Tampa, FL 33609
Phone (813) 871-5151

6719 Gall Blvd
Ste 202
Zephyrhills, FL 33542
Phone (813) 788-6674

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1104850692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262186",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336852186",
            "telephone_number": "813-926-4058",
            "fax_number": "813-926-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33626",
            "telephone_number": "813-926-4058",
            "fax_number": "813-926-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "46917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263128800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30869",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "38518",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "083117",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261980600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1727572",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2051099",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "59-3541427",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "GARCIA",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.