Individual provider Active NPI

Andrew Cornel Daley, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1285644054
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME92581 Issued in FL
Practice address
17913 Bahama Isle Dr
Tampa, FL 33647-2777
Phone
(813) 651-1085
Fax
(813) 677-5690
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME92581 FL Primary

Addresses

Primary practice location

17913 Bahama Isle Dr
Tampa, FL 33647-2777

Mailing address

PO Box 4707
Plant City, FL 33563-0030
Phone (813) 651-1085

Other identifiers 1

IdentifierTypeStateIssuer
273870800MedicaidFL

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
I20050912001198 FL Practitioner - Internal Medicine 8022041938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Connecticut School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

300 Riverside E Dr
Suite 1000
Bradenton, FL 34208-1022
Phone (941) 251-4933

Hospital & facility affiliations

  • Origin Home Health Care Home health agency, Apollo Beach, FL, CCN 109060
  • Empower Home Care Home health agency, Sun City Center, FL, CCN 687110
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92581FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daley and Associates Primemed of Tampa Bay LLC Internal Medicine CurrentSince Sep 28, 2013 Accepting new patients
Hospitalists of Brandon, LLC. Past Accepting new patients
Team Radiology Physicians, PA Past Accepting new patients

Locations

300 Riverside Dr E
Ste 1000
Bradenton, FL 34208
Phone (941) 251-4933

631 W Lumsden Rd
Brandon, FL 33511
Phone (813) 413-2454

Interoperability endpoints

  • Direct secure messaging: andrew.daley@daleyandassociatesprimemedoftam.chartmakerdirect.com

Organizations & group practices 3

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 5

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1285644054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4707",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335630030",
            "telephone_number": "813-651-1085",
            "fax_number": "813-677-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17913 BAHAMA ISLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472777",
            "telephone_number": "813-651-1085",
            "fax_number": "813-677-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "ANDREW",
        "middle_name": "CORNEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273870800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.