NPIMap

Individual provider Active NPI

Karon R Locicero, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1255307641
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0047336 Issued in FL
Practice address
2605 W Swann Ave
Suite 600
Tampa, FL 33609
Phone
(813) 876-7073
Fax
(813) 879-3737
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Hospital & facility affiliations 19

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Karon R Locicero MD PA 18 clinicians
Sports and Orthopedic Rehabilitation Services Inc 314 clinicians

Practice addresses (Care Compare)

2605 W Swann Ave
Suite 600
Tampa, FL 33609-4044
Phone (813) 876-7073

3411 S Dale Mabry Hwy
Suite a Select Physical Therapy
Tampa, FL 33629-8658
Phone (813) 742-9501

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Tampa, FL, CCN 683149
  • Delight Care Home Health LLC Home health agency, Tampa, FL, CCN 687167
  • Vitalcaring Group Home health agency, Tampa, FL, CCN 109761
  • Patients First Home Care LLC Home health agency, Bradenton, FL, CCN 687173
  • Vna Plus Home health agency, Tampa, FL, CCN 687180
  • Lifepath Hospice Hospice, Temple Terr, FL, CCN 101507
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206
  • AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Canterbury Towers Inc Nursing home, Tampa, FL, CCN 105326
  • Vivo Healthcare Gandy Nursing home, Tampa, FL, CCN 105491
  • Rehabilitation and Healthcare Center of Tampa Nursing home, Tampa, FL, CCN 105234
  • Bayshore Pointe Nursing and Rehab Center Nursing home, Tampa, FL, CCN 105650
  • Woodbridge Care Center and Rehab Nursing home, Tampa, FL, CCN 105426

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Canterbury Tower Inc.Tampa, FL, CCN 105326 Skilled nursing facility Adp of the SNF Apr 1, 2025

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20090318000494 FL Practitioner - Internal Medicine 3476573155 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0047336FLMDInternal Medicine Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Locicero Hospital Group LLC Internal Medicine CurrentSince Jan 6, 2017 Accepting new patients
Tampa General Hospital Current Accepting new patients
Karon R Lociero MD Past Accepting new patients

Locations

2605 W Swann Ave
Ste 600
Tampa, FL 33609
Phone (813) 870-2528

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: klocicero8408@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0047336 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2605 W Swann Ave
Suite 600
Tampa, FL 33609

Mailing address

2605 W Swann Ave
Suite 600
Tampa, FL 33609
Phone (813) 876-7073

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
048214500MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2013.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1255307641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE",
            "address_2": "SUITE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-876-7073",
            "fax_number": "813-879-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE",
            "address_2": "SUITE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-876-7073",
            "fax_number": "813-879-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCICERO",
        "first_name": "KARON",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0047336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048214500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.