Active NPI
John Paul Joseph Sosa, M.D.
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1285677328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME105758
- Practice address
- 3601 Madaca LN
Tampa, FL 33618-2048 - Phone
- (813) 314-7943
- Fax
- (813) 454-0059
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME105758 | FL | Primary |
Addresses
Primary practice location
3601 Madaca LN
Tampa, FL 33618-2048
Mailing address
3703 Acadia Glen LN
Lutz, FL 33548-7918
Phone (248) 613-0489
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00699963 | Other | MI | RAILROAD MEDICARE |
| 0016853-00 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JohnPaul.Sosa@206270085070852.direct.elationemr.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 28, 2020 through Apr 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME105758 | FL | MD | Family Medicine Physician |
Interoperability endpoints
- johnpaul.sosa@206270085070852.direct.elationemr.com
- john.sosa@866779383726084.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1285677328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 ACADIA GLEN LN",
"city": "LUTZ",
"state": "FL",
"postal_code": "335487918",
"telephone_number": "248-613-0489",
"fax_number": "813-454-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 MADACA LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182048",
"telephone_number": "813-314-7943",
"fax_number": "813-454-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSA",
"first_name": "JOHN PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME105758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00699963",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016853-00",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JohnPaul.Sosa@206270085070852.direct.elationemr.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Messaging Address",
"address_1": "3601 Madaca Ln",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336182048",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.