Individual provider Active NPI

Dennis John Tishko, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tampa, FL
National Provider Identifier
1174591598
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME117435 Issued in FL
Practice address
3003 W Dr MLK Blvd
Tampa, FL 33607-6307
Phone
(727) 532-0002
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME117435 FL Primary

Addresses

Primary practice location

3003 W Dr MLK Blvd
Tampa, FL 33607-6307

Mailing address

661 E Altamonte Dr Ste 324
Altamonte Springs, FL 32701-5103
Phone (407) 845-8354

Other identifiers 2

IdentifierTypeStateIssuer
14V0AOtherFLFLORIDA BLUE
011135100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dennis.TishkoMD@direct.mybaycare.org Direct

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
I20140715000706 FL Practitioner - Thoracic Surgery 9931186467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Cincinnati College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

3003 W Dr Martin Luther King Jr Blvd
Mab 2ND Floor
Tampa, FL 33607-6307
Phone (813) 872-7737

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117435FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 22, 2024 Accepting new patients
Bocacare Inc CurrentSince Jul 11, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 22, 2024 Accepting new patients
Bocacare Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 11, 2024 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Aug 25, 2025 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Nov 1, 2022 Accepting new patients
Surgical Clinic, PA Past Accepting new patients
Thoracic and Cardiovascular Surgery Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jan 1, 1999 Accepting new patients

Locations

661 E Altamonte Dr
Ste 324
Altamonte Springs, FL 32701
Phone (407) 303-3031

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

701 NW 13th St
Fl 3
Boca Raton, FL 33486
Phone (561) 955-2141

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

3003 W Mlk Blvd
Fl 2
Tampa, FL 33607
Phone (813) 321-6580

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: dennis.tishko.1@26289.direct.athenahealth.com
  • Direct secure messaging: dennis.tishkomd@direct.mybaycare.org

Organizations & group practices 9

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 2

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1174591598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 324",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015103",
            "telephone_number": "407-845-8354",
            "fax_number": "954-888-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W DR MLK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "727-532-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISHKO",
        "first_name": "DENNIS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME117435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14V0A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011135100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dennis.TishkoMD@direct.mybaycare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3003 W Dr Mlk Blvd",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336076307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.