Active NPI
Andrew J Tucker, DO
- Anesthesiology Physician
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 1215566492
- Practice address
- 160 NW 170TH St
North Miami Beach, FL 33169-5521 - Phone
- (305) 651-1100
- NPI assigned
- Apr 8, 2020
- Last updated
- Jun 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1215566492 | FL | Primary |
| Anesthesiology Physician | 207L00000X | OS025269 | PA | |
| Anesthesiology Physician | 207L00000X | 81845 | WI | |
| Internal Medicine Physician | 207R00000X | 207R00000X | FL |
Addresses
Primary practice location
160 NW 170TH St
North Miami Beach, FL 33169-5521
Mailing address
2125 Biscayne Blvd Ste 204
Miami, FL 33137-5029
Phone (850) 509-8576
Other practice location 1
25 Monument Rd Ste 270
York, PA 17403-5073
Phone (717) 741-8250
Other practice location 2
835 5th Ave
Chambersburg, PA 17201-4220
Phone (717) 217-4312
Other practice location 3
169 Martin Aveunue
Ephrata, PA 17522-1734
Phone (717) 733-0311
Other practice location 4
1600 SW Archer Rd Ste 4102
Gainesville, FL 32610-3003
Phone (352) 265-0239
Other practice location 5
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-2000
Other practice location 6
501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3425
Other practice location 7
35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0811
Other practice location 8
1001 S George St
York, PA 17403-3676
Phone (717) 812-7687
Other practice location 9
55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425
Other practice location 10
12 St Paul Dr Ste 100
Chambersburg, PA 17201-1035
Phone (717) 217-6072
Other practice location 11
90 Medical Park Dr Ste 2000
Lewisburg, PA 17837-6343
Phone (570) 524-2722
Other practice location 12
252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7500
Other practice location 13
112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215566492 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Nova Southeastern College of Osteo Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (954) 939-5000
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903
4300 Alton Rd
Miami, FL 33140-2948
Phone (888) 851-4642
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1215566492 | FL | MD | Anesthesiology Physician |
| 81845 | WI | MD | Anesthesiology Physician |
| 207R00000X | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Chieftency | Anesthesiology | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Anesthesiology | Current | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
2125 Biscayne Blvd
Ste 204
Miami, FL 33137
Phone (954) 200-4889
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
10000 W Innovation Dr
Ste 300
Wauwatosa, WI 53226
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- atucker886765@direct.froedtert.com
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Anesthesiology
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Anesthesiology Physician
- Miami, FL
- NPI 1053289652
-
- Anesthesiology Physician
- Miami, FL
- NPI 1104248699
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Port Charlotte
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
- General Acute Care Hospital
- Miami, FL
- NPI 1013959972
-
- General Acute Care Hospital
- Miami Beach, FL
- NPI 1912964768
-
dba Jackson Memorial Hospital Hospital MHHC
- Psychiatric Hospital Unit
- Miami, FL
- NPI 1043473093
-
dba JMH Medical Examiner
- Legal Medicine
- Miami, FL
- NPI 1194897421
Hospital
-
dba JMH Maternal Addiction Program
- Methadone Clinic
- Miami, FL
- NPI 1427120856
Hospital
-
dba Juanita Mann Health Center
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1578633707
Hospital
-
dba JMH Infant Toddler Center
- Medical Specialty Clinic/Center
- Miami, FL
- NPI 1831263771
Hospital
-
dba PHT Dr Rafael A Penalver Clinic
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1033283445
Hospital
-
dba Jackson North Medical Center
- General Acute Care Hospital
- North Miami Beach, FL
- NPI 1104857119
-
dba Jackson South Community Hospital
- General Acute Care Hospital
- Palmetto Bay, FL
- NPI 1174601397
-
dba Jackson Health Systems Jackson Memorial Hospita
- General Acute Care Hospital
- Miami, FL
- NPI 1225033020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1215566492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 BISCAYNE BLVD STE 204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331375029",
"telephone_number": "850-509-8576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 NW 170TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695521",
"telephone_number": "305-651-1100"
}
],
"practiceLocations": [
{
"address_1": "25 Monument Rd Ste 270",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035073",
"country_code": "US",
"telephone_number": "717-741-8250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "835 5th Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172014220",
"country_code": "US",
"telephone_number": "717-217-4312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Martin Aveunue",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221734",
"country_code": "US",
"telephone_number": "717-733-0311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 SW Archer Rd Ste 4102",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-265-0239",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178379350",
"country_code": "US",
"telephone_number": "570-522-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682353",
"country_code": "US",
"telephone_number": "717-765-3425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Erick Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176013111",
"country_code": "US",
"telephone_number": "717-690-0811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174033676",
"country_code": "US",
"telephone_number": "717-812-7687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Monument Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035023",
"country_code": "US",
"telephone_number": "717-812-6425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 St Paul Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011035",
"country_code": "US",
"telephone_number": "717-217-6072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "90 Medical Park Dr Ste 2000",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178376343",
"country_code": "US",
"telephone_number": "570-524-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "252 S 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 N 7th St",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011720",
"country_code": "US",
"telephone_number": "717-267-7164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-08",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "1215566492",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "OS025269",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "81845",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "207R00000X",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215566492",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.