Individual provider Active NPI

Thomas Nienke, DO

  • Orthopaedic Surgery of the Spine Physician
  • St Petersburg, FL
National Provider Identifier
1194976860
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
OS12013 Issued in FL
Practice address
5880 49TH St N Ste N-104
St Petersburg, FL 33709-2150
Phone
(727) 528-6100
Fax
(727) 528-7895
NPI assigned
Sep 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X OS12013 FL Primary

Addresses

Primary practice location

5880 49TH St N Ste N-104
St Petersburg, FL 33709-2150

Mailing address

5880 49TH St N Ste N-104
St Petersburg, FL 33709-2150
Phone (727) 528-6100

Other practice location 1

5800 49th St N Ste S-106
St Petersburg, FL 33709-2146
Phone (727) 528-6100

Other identifiers 2

IdentifierTypeStateIssuer
HI139YOtherFLMEDICARE PTAN
008659300MedicaidFL

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
I20130711000100 FL Practitioner - Orthopedic Surgery 9335039098 Reassigns benefits to 1 organization
Practice locations: St Petersburg, FL

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Kansas City College of Medicine and Surgery, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Medical Associates PAGroup PAC ID 7214968791, 11 clinicians

Practice addresses (Care Compare)

5880 49TH St N
Suite 104
St Petersburg, FL 33709-2142
Phone (727) 528-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.49 of 100Reported as group
Quality
77.16
Promoting interoperability
93
Improvement activities
40
Cost
75.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Spinal fusion37
Laminectomy or laminotomy (partial removal of spine bones)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12013FLMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Medical Associates, PA Orthopaedic Surgery of the Spine CurrentSince Oct 15, 2017 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Gateway Radiology Consultants, P.a. PastSince Oct 15, 2017 Accepting new patients
Novak Chiropractic Clinic, P.a. Past Accepting new patients

Locations

5880 49th St N
Ste 104
St Petersburg, FL 33709
Phone (727) 251-3828

5880 49th St N
Ste N104
St Petersburg, FL 33709
Phone (727) 528-6100

2191 9th Ave N
Ste 105
St Petersburg, FL 33713
Phone (727) 209-1419

5800 49th St N
Ste 204
St Petersburg, FL 33709
Phone (727) 521-4995

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tnienke189292@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBHHAA

Organizations & group practices 4

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 3

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1194976860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N STE N-104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N STE N-104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 49th St N Ste S-106",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337092146",
            "country_code": "US",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIENKE",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "OS12013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HI139Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008659300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.