Individual provider Active NPI

Thomas J Prebish, D.O.

  • Surgery Physician
  • Largo, FL
National Provider Identifier
1265848170
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
UO3692 Issued in FL
Practice address
201 14TH St SW
Largo, FL 33770
Phone
(727) 586-7103
NPI assigned
Jul 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X UO3692 FL Primary

Addresses

Primary practice location

201 14TH St SW
Largo, FL 33770

Mailing address

1615 Pasadena Ave S Ste 330
South Pasadena, FL 33707-4567
Phone (727) 345-2929

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
I20180918004367 FL Practitioner - General SurgeryPractitioner - Internal Medicine 8527319391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Tampa Bay Physician Specialists LLCGroup PAC ID 2961637715, 33 clinicians

Practice addresses (Care Compare)

1609 Pasadena Ave S
Suite 3M
South Pasadena, FL 33707-4563
Phone (727) 289-7137

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Clearwater, FL, CCN 103175
  • HCA Florida Pasadena Hospital a Part of HCA Florid Hospital, Saint Petersburg, FL, CCN 100126
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • Kindred Hospital-Bay Area-Tampa Inpatient rehabilitation facility, Tampa, FL, CCN 10TA09
  • Kindred Hospital-Bay Area-Tampa Long-term care hospital, Tampa, FL, CCN 102009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)16
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue566

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO3692FLMDSurgery Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
Greater Tampa Bay Physician Specialists, LLC Surgery CurrentSince Sep 25, 2019 Accepting new patients
Advanced Wound Care, LLC CurrentSince Oct 1, 2024 Accepting new patients
KND Development 59, LLC CurrentSince Jul 23, 2018 Accepting new patients
KND Development 59, LLC CurrentSince Jul 23, 2018 Accepting new patients

Locations

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

1609 Pasadena Ave S
Ste 3M
South Pasadena, FL 33707
Phone (727) 289-7137

6006 49th St N
Ste 310
St Petersburg, FL 33709
Phone (727) 345-2929

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: thomas.prebish@hca4.eclinicaldirectplus.com

Organizations & group practices 5

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1265848170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S STE 330",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074567",
            "telephone_number": "727-345-2929",
            "fax_number": "727-345-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33770",
            "telephone_number": "727-586-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBISH",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "UO3692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.