Individual provider Active NPI

Essa Omran Alsharif, D.O.

  • Family Medicine Physician
  • Riverview, FL
National Provider Identifier
1124575899
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS20448 Issued in FL
Practice address
10647 Big Bend Rd Ste 212
Riverview, FL 33579-7176
Phone
(813) 844-4600
Fax
(813) 844-1960
NPI assigned
Sep 9, 2016
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101022882 MI
Family Medicine Physician 207Q00000X OS20448 FL Primary

Addresses

Primary practice location

10647 Big Bend Rd Ste 212
Riverview, FL 33579-7176

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-4600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ealsharif278957@direct.tgh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180315000207 MI Practitioner - Family Practice 9133481963 Reassigns benefits to 3 organizations
I20231011000550 FL Practitioner - Family Practice 9133481963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

10647 Big Bend Rd
Suite 212
Riverview, FL 33579-7176
Phone (813) 844-4600

24911 Little Mack Ave
St CLR Shores, MI 48080-3200
Phone (586) 777-2050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20448FLMDFamily Medicine Physician
5101022882MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2025 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Oct 2, 2023 Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Tampa General Medical Group Inc Family Medicine CurrentSince Oct 2, 2023 Accepting new patients
Henry Ford Health St. John Hospital Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

10647 Big Bend Rd
Ste 212
Riverview, FL 33579
Phone (813) 844-4600

8470 Main St
Birch Run, MI 48415
Phone (989) 624-2020

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

24911 Little Mack Ave
St Clr Shores, MI 48080
Phone (586) 777-2050

24911 Little Mack Ave
Ste C
St Clr Shores, MI 48080
Phone (586) 777-2050

Interoperability endpoints

  • Direct secure messaging: ealsharif278957@direct.tgh.org
  • Direct secure messaging: ealsharif73845@direct.covenanthealthcare.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1124575899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-4600",
            "fax_number": "813-844-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10647 BIG BEND RD STE 212",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797176",
            "telephone_number": "813-844-4600",
            "fax_number": "813-844-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHARIF",
        "first_name": "ESSA",
        "middle_name": "OMRAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101022882",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS20448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ealsharif278957@direct.tgh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10647 Big Bend Rd Ste 212",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335797176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.