Individual provider Active NPI

Alexander Sergeevich Matveevskii, MD

  • Pediatric Anesthesiology Physician
  • Tampa, FL
National Provider Identifier
1235157199
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
ME 80600 Issued in FL
Practice address
1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571
Phone
(813) 844-4396
Fax
(813) 844-4972
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X 35.096597 OH
Anesthesiology Physician 207L00000X ME 80600 FL
Pediatric Anesthesiology Physician 207LP3000X ME 80600 FL Primary

Addresses

Primary practice location

1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571

Mailing address

1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571
Phone (813) 844-4396

Other identifiers 1

IdentifierTypeStateIssuer
261776500MedicaidFL

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
I20050420001022 FL Practitioner - Anesthesiology 3779521703 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James G Hankerson PAGroup PAC ID 1254424955, 19 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

2727 W Dr Martin Luther King Jr Blvd
Suite 100
Tampa, FL 33607-6383
Phone (813) 877-8094

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 80600FLMDPediatric Anesthesiology Physician
35.096597OHMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lockwood & Steely, MD'S, PA CurrentSince Sep 12, 2024 Accepting new patients
James G Hankerson PA Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Sep 4, 2012 Accepting new patients
Ams National LLC Anesthesiology CurrentSince May 2, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Gulfcoast Spine Institute, LLC CurrentSince Jan 1, 2022 Accepting new patients
Bay Area Professional Anesthesia LLC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Feinerman Anesthesia PA Anesthesiology CurrentSince Feb 22, 2023 Accepting new patients
Sleepy Head Anesthesiology LLC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Tampa Bay Surgery Center Associates LTD Anesthesiology CurrentSince Jul 22, 2023 Accepting new patients
Gulfcoast Spine Institute, LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Tampa Bay Surgery Center Associates LTD CurrentSince Jul 22, 2023 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Sep 4, 2012 Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

402 Jeffords St
Clearwater, FL 33756
Phone (423) 505-2653

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

13350 Metro Pkwy
Ste 401
Fort Myers, FL 33966
Phone (855) 485-3262

1401 West Bay Dr
Largo, FL 33770
Phone (727) 585-9500

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

8500 SW 92nd St
Ste 204
Miami, FL 33156
Phone (305) 270-8944

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

301 N Alexander St
Plant City, FL 33563
Phone (813) 757-1200

2438 Martin Luther King St N
Ste C
St Petersburg, FL 33704
Phone (727) 543-9204

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
Ste A327
Tampa, FL 33606
Phone (813) 635-5817

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

11811 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 357-5900

11911 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 265-5300

5301 Avion Park Dr
Tampa, FL 33607
Phone (813) 280-7809

1715 N West Shore Blvd
Ste 190
Tampa, FL 33607
Phone (813) 870-1000

4211 W Boy Scout Blvd
Ste 400
Tampa, FL 33607
Phone (813) 443-2108

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • Freedom Health HMO Network

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1235157199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "address_2": "SUITE A327",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-4396",
            "fax_number": "813-844-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "address_2": "SUITE A327",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-4396",
            "fax_number": "813-844-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATVEEVSKII",
        "first_name": "ALEXANDER",
        "middle_name": "SERGEEVICH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "OH",
            "license": "35.096597",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 80600",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "FL",
            "license": "ME 80600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261776500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.