NPIMap

Organization Active NPI

Tampa General Medical Group Inc

Doing business as TGMG St. Pete

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • St Petersburg, FL
National Provider Identifier
1144952706
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
TAMPA GENERAL MEDICAL GROUP INC
Doing business as
TGMG St. Pete
Practice address
4949 4TH St N
Saint Petersburg, FL 33703-3800
Phone
(727) 828-6370
Fax
(727) 828-6371
NPI assigned
Jun 30, 2022
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TAMPA GENERAL MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Peter Travis Riad Chang
Title
VP Healthcare Design
Phone
(813) 844-3956

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Surgical Oncology Physician 2086X0206X
Colon & Rectal Surgery Physician 208C00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X Primary

Addresses

Primary practice location

4949 4TH St N
Saint Petersburg, FL 33703-3800

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-3956

Other names 1

  • TGMG St. Pete Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160310002525 FL Part B Supplier - Clinic/Group Practice 7416253828 Receives reassigned benefits from 473 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tampa, FL; Sun City Center, FL; Trinity, FL; Valrico, FL; Wesley Chapel, FL; Wimauma, FL; St Petersburg, FL; Apollo Beach, FL…

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

National Provider Directory

National Provider Directory
Tax ID family
Tampa General Medical Group48 organizations share this tax ID, including this one
Part of
Tampa General Medical Group

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

6488 N US Highway 41
Apollo Beach, FL 33572
Phone (813) 844-7500

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1144952706",
    "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": "813-844-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337033800",
            "telephone_number": "727-828-6370",
            "fax_number": "727-828-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA GENERAL MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAMPA GENERAL MEDICAL GROUP INC",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "TRAVIS RIAD",
        "authorized_official_title_or_position": "VP HEALTHCARE DESIGN",
        "authorized_official_telephone_number": "813-844-3956"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TGMG St. Pete",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TGMG St. Pete",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.