Individual provider Active NPI

Luis Ariel Crespo, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
National Provider Identifier
1265069967
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
ME168250 Issued in FL
Practice address
5041 W Cypress St
Tampa, FL 33607-3803
Phone
(813) 245-0663
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME168250 FL
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X ME168250 FL Primary

Addresses

Primary practice location

5041 W Cypress St
Tampa, FL 33607-3803

Mailing address

3004 W Neptune St
Tampa, FL 33629-6048
Phone (813) 245-0663

Other identifiers 1

IdentifierTypeStateIssuer
2626311MedicaidLA

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
I20250807000845 FL Practitioner - Sports MedicinePractitioner - Family Practice 4587083548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

4730 N Habana Ave
Suite 104
Tampa, FL 33614-7165
Phone (813) 739-7498

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME168250FLMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Relief Group PLLC CurrentSince Oct 15, 2025 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

6310 Health Park Way
Ste 320
Lakewood Ranch, FL 34202
Phone (941) 361-1123

10875 Park Blvd
Ste C
Seminole, FL 33772
Phone (727) 350-0453

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

7518 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (813) 426-8263

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1265069967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 W NEPTUNE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296048",
            "telephone_number": "813-245-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 W CYPRESS ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073803",
            "telephone_number": "813-245-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "LUIS",
        "middle_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME168250",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME168250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2626311",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.