Organization Active NPI

Colowell America LLC

  • Colon & Rectal Surgery Physician
  • Tampa, FL
National Provider Identifier
1225587165
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
COLOWELL AMERICA LLC
Practice address
2313 W Violet St Ste a
Tampa, FL 33603-1421
Phone
(813) 278-6430
Fax
(855) 832-3509
NPI assigned
Oct 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Shiraz Farooq, MDNPI 1205970431
Title
Surgeon/President
Phone
(813) 278-6430

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
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

2313 W Violet St Ste a
Tampa, FL 33603-1421

Mailing address

2313 W Violet St Ste a
Tampa, FL 33603-1421
Phone (813) 278-6430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181119003195 FL Part B Supplier - Clinic/Group Practice 6709130255 Receives reassigned benefits from 2 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

2313 W Violet St
Ste A
Tampa, FL 33603
Phone (813) 278-6430

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1225587165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 W VIOLET ST STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031421",
            "telephone_number": "813-278-6430",
            "fax_number": "855-832-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 W VIOLET ST STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031421",
            "telephone_number": "813-278-6430",
            "fax_number": "855-832-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOWELL AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "SHIRAZ",
        "authorized_official_title_or_position": "SURGEON/PRESIDENT",
        "authorized_official_telephone_number": "813-278-6430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 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.