Individual provider Active NPI

Rachel Komala Moodey, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Tampa, FL
National Provider Identifier
1124231774
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME106024 Issued in FL
Practice address
4129 N Armenia Ave
Tampa, FL 33607-6436
Phone
(813) 879-3699
Fax
(813) 873-8469
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME106024 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME106024 FL Primary

Addresses

Primary practice location

4129 N Armenia Ave
Tampa, FL 33607-6436

Mailing address

4129 N Armenia Ave
Tampa, FL 33607-6436
Phone (813) 879-3699

Other practice location 1

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303

Other practice location 2

2 Tampa General Cir
Tampa, FL 33606-3603
Phone (813) 974-2201

Other identifiers 2

IdentifierTypeStateIssuer
003490300MedicaidFL
1486AOtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Rachel Komala Moodey Other 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
I20100216000160 FL Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6800930785 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Lung Specialists, P.a.Group PAC ID 1557407624, 16 clinicians

Practice addresses (Care Compare)

4129 N Armenia Ave
Tampa, FL 33607-6436
Phone (813) 879-3699

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Hospitalists PA Critical Care Medicine Current Accepting new patients
Inpatient Consultants of Florida Inc Hospitalist CurrentSince May 24, 2016 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 28, 2019 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Oct 31, 2018 Accepting new patients
Inpatient Consultants of Florida, Inc Hospitalist CurrentSince May 24, 2016 Accepting new patients
Heart Vascular and Vein of Tampa Bay LLC CurrentSince May 31, 2020 Accepting new patients
Premier Inpatient Partners LLC Hospitalist CurrentSince Jan 1, 2021 Accepting new patients
Adventist Health System-Sunbelt Inc Critical Care Medicine CurrentSince Oct 31, 2018 Accepting new patients
Pioneer Medical Group, PL Critical Care Medicine CurrentSince Jun 22, 2019 Accepting new patients
Tampa Lung Specialists, P.a. Pulmonary Disease CurrentSince Jun 1, 2020 Accepting new patients
Tampa General Hospital Current Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Oct 31, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients
Raul Sierra MD PA Past Accepting new patients

Locations

500 Vonderburg Dr
Ste 20
Brandon, FL 33511

621 W Lumsden Rd
Brandon, FL 33511
Phone (813) 655-1100

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

1800 Barrs St
Jacksonville, FL 32204
Phone (904) 387-4030

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

8773 Perimeter Park Ct
Jacksonville, FL 32216
Phone (904) 493-3390

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

4129 N Armenia Ave
Tampa, FL 33607
Phone (813) 870-3342

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

4129 N Armenia Ave
Ste B
Tampa, FL 33607
Phone (813) 877-7526

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rmoodey166204@direct.tgh.org

Organizations & group practices 15

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.

View all 15

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1124231774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-879-3699",
            "fax_number": "813-873-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-879-3699",
            "fax_number": "813-873-8469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13067 N Telecom Pkwy",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370926",
            "country_code": "US",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063603",
            "country_code": "US",
            "telephone_number": "813-974-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODEY",
        "first_name": "RACHEL",
        "middle_name": "KOMALA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME106024",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME106024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003490300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1486A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MOODEY",
            "middle_name": "KOMALA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.