Individual provider Active NPI

Andrew J Tucker, DO

  • Anesthesiology Physician
  • North Miami Beach, FL
National Provider Identifier
1215566492
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1215566492 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1215566492MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, PA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250513001189 WI Practitioner - Anesthesiology 0941620280 Reassigns benefits to 1 organization
I20250902000318 PA Practitioner - Anesthesiology 0941620280
I20251207000196 FL Practitioner - Anesthesiology 0941620280 Reassigns benefits to 3 organizations

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
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
The Medical College of Wisconsin IncGroup PAC ID 2668384371, 2,092 clinicians

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

LicenseStateTypeSpecialty
1215566492FLMDAnesthesiology Physician
81845WIMDAnesthesiology Physician
207R00000XFLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Chieftency Anesthesiology Current Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. Anesthesiology CurrentSince Jun 30, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

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

Verify at the official NPI Registry.