Individual provider Active NPI

David J. Eschelbacher, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1285699645
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME89859 Issued in FL
Practice address
2812 N 22ND St
Tampa, FL 33605-2762
Phone
(813) 374-2494
Fax
(813) 374-2495
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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 ME89859 FL Primary

Addresses

Primary practice location

2812 N 22ND St
Tampa, FL 33605-2762

Mailing address

PO Box 9155
Tampa, FL 33674-9155
Phone (813) 374-2494

Other identifiers 2

IdentifierTypeStateIssuer
P00699087OtherRAILROAD MEDICARE
000317800MedicaidFL

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
I20040825001073 FL Practitioner - Internal MedicinePractitioner - General Practice 9335113224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David Eschelbacher MD PLGroup PAC ID 7113089574, 3 clinicians

Practice addresses (Care Compare)

2812 N 22ND St
Tampa, FL 33605-2762
Phone (813) 374-2494

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Tampa, FL, CCN 109689
  • Amedisys Home Health Home health agency, Winter Haven, FL, CCN 107007
  • Southwest Florida Home Care Inc Home health agency, Tampa, FL, CCN 687063
  • Divine Home Health Care Inc Home health agency, Tampa, FL, CCN 109361
  • Bay Area Home Health Services Inc Home health agency, Tampa, FL, CCN 683130
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Eschelbacher MD PL Internal Medicine CurrentSince Nov 12, 2008 Accepting new patients

Locations

2812 N 22nd St
Tampa, FL 33605
Phone (813) 374-2494

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.

Hospital & facility affiliations 7

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1285699645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9155",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336749155",
            "telephone_number": "813-374-2494",
            "fax_number": "813-374-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052762",
            "telephone_number": "813-374-2494",
            "fax_number": "813-374-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHELBACHER",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00699087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000317800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.