NPIMap

Organization Active NPI

Tri Health Family Wellness Center LLC

  • Family Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1114678588
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRI HEALTH FAMILY WELLNESS CENTER LLC
Practice address
2253 Green Hedges Way
Wesley Chapel, FL 33544-6969
Phone
(813) 771-6851
Fax
(813) 771-6875
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Malek S Hussein, MDNPI 1427363316
Title
Owner
Phone
(813) 838-8440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2253 Green Hedges Way
Wesley Chapel, FL 33544-6969

Mailing address

2253 Green Hedges Way Ste 101
Wesley Chapel, FL 33544-6969
Phone (813) 771-6851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220805000244 FL Part B Supplier - Clinic/Group Practice 1557743689 Receives reassigned benefits from 13 practitioners
Practice locations: Gainesville, FL; Temple Terrace, FL; Wesley Chapel, FL

National Provider Directory

National Provider Directory

Locations

4631 NW 53rd Ave
Gainesville, FL 32653
Phone (813) 771-6851

11460 N 53rd St
Temple Terrace, FL 33617
Phone (813) 304-2296

2253 Green Hedges Way
Ste 101
Wesley Chapel, FL 33544
Phone (813) 334-9694

2253 Green Hedges Way
Wesley Chapel, FL 33544
Phone (813) 771-6851

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1114678588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 GREEN HEDGES WAY STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446969",
            "telephone_number": "813-771-6851",
            "fax_number": "813-771-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 GREEN HEDGES WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446969",
            "telephone_number": "813-771-6851",
            "fax_number": "813-771-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI HEALTH FAMILY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "MALEK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-838-8440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.