Individual provider Active NPI

Fawadulhaq Gillani

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1326502014
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME158355 Issued in FL
Practice address
1303 W Kennedy Blvd
Tampa, FL 33606-1848
Phone
(813) 821-8038
NPI assigned
Jan 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME158355 FL Primary
Psychiatry Physician 2084P0800X 1020738 MA

Addresses

Primary practice location

1303 W Kennedy Blvd
Tampa, FL 33606-1848

Mailing address

PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038

Other practice location 1

14 Fordham Rd
Allston, MA 02134-3000
Phone (617) 782-6460

Other practice location 2

46040 Center Oak Plz Ste 150
Sterling, VA 20166-6611
Phone (703) 997-9494

Other practice location 3

2025 Indian Rocks Rd S
Largo, FL 33774-1035
Phone (727) 587-7562

Other identifiers 2

IdentifierTypeStateIssuer
117349200MedicaidFL
S5HMLOtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fgillani364262@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221221002776 FL Practitioner - Psychiatry 1658776117 Reassigns benefits to 2 organizations
I20241112001199 MA Practitioner - Psychiatry 1658776117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Windmoor Healthcare IncGroup PAC ID 2668553199, 12 clinicians
Hri Clinics, Inc.Group PAC ID 8022088483, 104 clinicians

Practice addresses (Care Compare)

11300 US Hwy 19 N
Clearwater, FL 33764-7451
Phone (727) 541-2646

14 Fordham Rd
Allston, MA 02134-3000
Phone (617) 782-6460

21 George St
Lowell, MA 01852-2228
Phone (978) 453-5736

38 Pond St
Franklin, MA 02038-3807
Phone (508) 528-6037

411 Chandler St
Worcester, MA 01602-3339
Phone (508) 799-0688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1020738MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Windmoor Healthcare Inc Psychiatry CurrentSince Mar 29, 2023 Accepting new patients
University Medical Service Association Inc CurrentSince Aug 20, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatry CurrentSince Dec 24, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
University Medical Service Association Inc Psychiatry CurrentSince Aug 20, 2025 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
Hri Clinics, Inc. CurrentSince Sep 16, 2024 Accepting new patients
Hri Clinics Inc CurrentSince Sep 16, 2024 Accepting new patients
Your Life ABA VA, LLC Past Accepting new patients

Locations

11300 US Highway 19 N
Clearwater, FL 33764
Phone (727) 541-2646

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

14 Fordham Rd
Boston, MA 02134
Phone (617) 783-9676

Interoperability endpoints

  • Direct secure messaging: fgillani364262@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 9

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": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1326502014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001",
            "telephone_number": "813-821-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061848",
            "telephone_number": "813-821-8038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Fordham Rd",
            "address_purpose": "LOCATION",
            "city": "Allston",
            "state": "MA",
            "postal_code": "021343000",
            "country_code": "US",
            "telephone_number": "617-782-6460",
            "fax_number": "508-675-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46040 Center Oak Plz Ste 150",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201666611",
            "country_code": "US",
            "telephone_number": "703-997-9494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Indian Rocks Rd S",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337741035",
            "country_code": "US",
            "telephone_number": "727-587-7562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLANI",
        "first_name": "FAWADULHAQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-26",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME158355",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "1020738",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117349200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S5HML",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fgillani364262@direct.tgh.org",
            "affiliation": "N",
            "address_1": "1303 W Kennedy Blvd",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336061848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.