Organization Active NPI

Tampa Medical Care, Inc.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1114927027
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0068445 Issued in FL
Legal business name
TAMPA MEDICAL CARE, INC.
Practice address
5106 N Armenia Ave Ste 4
Tampa, FL 33603-1433
Phone
(813) 931-2366
Fax
(813) 936-8886
NPI assigned
Jul 21, 2005
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Dr. Chandra Prakash Bapna, MDNPI 1922008366
Title
Medical Director
Phone
(813) 931-2366

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0068445 FL Primary
Medical Specialty Clinic/Center 261QM2500X NU

Addresses

Primary practice location

5106 N Armenia Ave Ste 4
Tampa, FL 33603-1433

Mailing address

5106 N Armenia Ave Ste 4
Tampa, FL 33603-1433
Phone (813) 931-2366

Other identifiers 6

IdentifierTypeStateIssuer
201223OtherFLAMERIGROUP
ME0068445OtherFLMEDICAL LICENSE
379318400MedicaidFL
246331OtherFLAVMED
28453OtherFLBCBS
110150380OtherFLRR MEDICARE

Other names 1

  • Chandra Bapna MD Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120412000261 FL Part B Supplier - Clinic/Group Practice 4688835036 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0289861Tampa Medical Care, Inc5106 N Armenia Ave Ste 4, Tampa, FL 33603Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Locations

6408 N Armenia Ave
Ste B
Tampa, FL 33604
Phone (813) 931-2366

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1114927027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 N ARMENIA AVE STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031433",
            "telephone_number": "813-931-2366",
            "fax_number": "813-936-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 N ARMENIA AVE STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031433",
            "telephone_number": "813-931-2366",
            "fax_number": "813-936-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA MEDICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "BAPNA",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "PRAKASH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-931-2366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0068445",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "201223",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0068445",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379318400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "246331",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28453",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110150380",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandra Bapna MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.