Individual provider Active NPI

Rupa D Tervo, MD

  • Obstetrics & Gynecology Physician
  • Land O' Lakes, FL
National Provider Identifier
1144271628
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME85349 Issued in FL
Practice address
20815 Broadwater Dr
Land O Lakes, FL 34638-8318
Phone
(727) 946-4443
NPI assigned
May 12, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME85349 FL Primary

Addresses

Primary practice location

20815 Broadwater Dr
Land O Lakes, FL 34638-8318

Mailing address

23110 State Road 54 Ste 167
Lutz, FL 33549-6933
Phone (727) 946-4443

Other identifiers 2

IdentifierTypeStateIssuer
10732842OtherFLCAQH
280137000MedicaidFL

Other names 1

  • Ms. Rupa D Patel 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
I20050418000033 FL Practitioner - Obstetrics/Gynecology 9739126277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians

Practice addresses (Care Compare)

2025 Indian Rocks Rd S
Largo, FL 33774-1035
Phone (727) 581-9474

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group, LLC CurrentSince Jun 1, 2024 Accepting new patients
Nautilus Health Care Group LLC Obstetrics & Gynecology CurrentSince Jun 1, 2024 Accepting new patients
Tampa Woman's Health Center Obstetrics & Gynecology Past Accepting new patients
Womencare PA Past Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Goss, Parker & Quinsey, P.a. Obstetrics & Gynecology Past Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

9332 State Road 54
Ste 302
Trinity, FL 34655
Phone (727) 834-4442

Organizations & group practices 7

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 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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144271628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 STATE ROAD 54 STE 167",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496933",
            "telephone_number": "727-946-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20815 BROADWATER DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388318",
            "telephone_number": "727-946-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERVO",
        "first_name": "RUPA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME85349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10732842",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280137000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUPA",
            "last_name": "PATEL",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Land O' Lakes, FL

Sources for this page

Verify at the official NPI Registry.