Individual provider Active NPI

Gil Emmanuel A Mejia, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1306817135
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73279 Issued in FL
Practice address
1706 E Bearss Ave
Tampa, FL 33613-2451
Phone
(813) 960-3436
Fax
(813) 960-3735
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 ME73279 FL Primary

Addresses

Primary practice location

1706 E Bearss Ave
Tampa, FL 33613-2451

Mailing address

1706 E Bearss Ave
Tampa, FL 33613-2451
Phone (813) 960-3436

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
I20241126000592 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3375586142

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie C Baldwin DPM PA CurrentSince Jun 16, 2024 Accepting new patients
Gil Emmanuel a Mejia MD PA Internal Medicine PastSince Apr 3, 2007 Accepting new patients

Locations

1706 E Bearss Ave
Tampa, FL 33613
Phone (813) 972-4300

Organizations & group practices 2

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1306817135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132451",
            "telephone_number": "813-960-3436",
            "fax_number": "813-960-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132451",
            "telephone_number": "813-960-3436",
            "fax_number": "813-960-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "GIL EMMANUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.