Individual provider Active NPI

Tiffany Laitano, MD

  • Allergy & Immunology Physician
  • Largo, FL
National Provider Identifier
1124588868
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME156870 Issued in FL
Practice address
201 14TH St SW
Largo, FL 33770-3199
Phone
(727) 588-5200
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME156870 FL Primary

Addresses

Primary practice location

201 14TH St SW
Largo, FL 33770-3199

Mailing address

612 Druid Rd E
Clearwater, FL 33756-3912
Phone (727) 443-6400

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
I20240715001412 FL Practitioner - Rheumatology 8628513603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis and Rheumatism Associates PLGroup PAC ID 0547235665, 5 clinicians

Practice addresses (Care Compare)

612 Druid Rd E
Clearwater, FL 33756-3912
Phone (727) 443-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156870FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman B. Gaylis M.D. PA Current Accepting new patients
Norman B. Gaylis M.D. PA Current Accepting new patients
Arthritis & Rheumatism Associates PL CurrentSince Sep 1, 2024 Accepting new patients

Locations

612 Druid Rd E
Clearwater, FL 33756
Phone (727) 443-6400

Interoperability endpoints

  • Direct secure messaging: tiffany.laitano.p1@direct.araclearwater.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1124588868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563912",
            "telephone_number": "727-443-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703199",
            "telephone_number": "727-588-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAITANO",
        "first_name": "TIFFANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME156870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.