Active NPI
Timothy R Hessert, MD
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1104884410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME133640
- Practice address
- 5001 E Busch Blvd
Tampa, FL 33617-5303 - Phone
- (813) 984-8846
- Fax
- (813) 984-8827
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME133640 | FL | Primary |
| Pediatrics Physician | 208000000X | 181721 | NY |
Addresses
Primary practice location
5001 E Busch Blvd
Tampa, FL 33617-5303
Mailing address
5001 E Busch Blvd
Tampa, FL 33617-5303
Phone (813) 984-8846
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101323DL | Other | NY | PREFERRED CARE |
| 050915000029 | Other | NY | FIDELIS |
| 00020892902 | Other | NY | UNIVERA |
| P010181721 | Other | NY | BLUE CHOICE |
| 1292886 | Other | NY | IHA |
| 10511492 | Other | NY | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME133640 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Barriga M.D., P.a. | Past | Accepting new patients | |
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Tampa, FL
- NPI 1942367644
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1104884410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 E BUSCH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336175303",
"telephone_number": "813-984-8846",
"fax_number": "813-984-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 E BUSCH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336175303",
"telephone_number": "813-984-8846",
"fax_number": "813-984-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESSERT",
"first_name": "TIMOTHY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME133640",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "181721",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "101323DL",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "050915000029",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00020892902",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010181721",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1292886",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10511492",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.