Active NPI
Mena Isnassuos, M.D.
- Pulmonary Disease Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME156171
- Practice address
- 2 Tampa General Cir
Tampa, FL 33606-3571 - Phone
- (813) 821-8038
- Fax
- (813) 974-4325
- NPI assigned
- May 2, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME156171 | FL | |
| Family Medicine Physician | 207Q00000X | 4301115585 | MI | |
| Pulmonary Disease Physician | 207RP1001X | ME156171 | FL | Primary |
Addresses
Primary practice location
2 Tampa General Cir
Tampa, FL 33606-3571
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 712-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115344800 | Medicaid | FL | |
| HMX8N | Other | FL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | misnassuos218898@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328
9330 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 834-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME156171 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Carolinas Medical Center | Pulmonary Disease | Current | Accepting new patients |
| Northstar Anesthesia of Florida LLC | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Ams National LLC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
Locations (25 of 27)
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242
329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100
Interoperability endpoints
- misnassuos218898@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- misnassuos2998578@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Family Medicine
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
dba HCA Florida Trinity Hospital
- General Acute Care Hospital
- Trinity, FL
- NPI 1891741849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1124438981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038",
"fax_number": "813-974-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-821-8038",
"fax_number": "813-974-4325"
}
],
"practiceLocations": [
{
"address_1": "1364 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303221059",
"country_code": "US",
"telephone_number": "404-712-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISNASSUOS",
"first_name": "MENA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME156171",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301115585",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME156171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115344800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "HMX8N",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "misnassuos218898@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.