NPIMap

Organization Active NPI

Gulf to Bay Infectious Disease Consultants PLLC

  • Infectious Disease Physician
  • Tampa, FL
National Provider Identifier
1215330824
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME 111588 Issued in FL
Legal business name
GULF TO BAY INFECTIOUS DISEASE CONSULTANTS PLLC
Practice address
4129 W Kennedy Blvd Ste 2
Tampa, FL 33609-2254
Phone
(813) 541-1466
Fax
(888) 249-3323
NPI assigned
Sep 28, 2014
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Dr. Mudathiru Buhari, MDNPI 1154426476
Title
Managing Member
Phone
(813) 541-1466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME 111588 FL Primary

Addresses

Primary practice location

4129 W Kennedy Blvd Ste 2
Tampa, FL 33609-2254

Mailing address

PO Box 320546
Tampa, FL 33679-2546
Phone (813) 541-1466

Other identifiers 1

IdentifierTypeStateIssuer
505412MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141231000538 FL Part B Supplier - Clinic/Group Practice 6305169160 Receives reassigned benefits from 5 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

2901 W Saint Isabel St
Ste D
Tampa, FL 33607
Phone (352) 702-3765

4129 W Kennedy Blvd
Ste 2
Tampa, FL 33609
Phone (813) 384-8872

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1215330824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320546",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336792546",
            "telephone_number": "813-541-1466",
            "fax_number": "888-249-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 W KENNEDY BLVD STE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092254",
            "telephone_number": "813-541-1466",
            "fax_number": "888-249-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF TO BAY INFECTIOUS DISEASE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-28",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "BUHARI",
        "authorized_official_first_name": "MUDATHIRU",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-541-1466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME 111588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505412",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.