Active NPI
Fawadulhaq Gillani
- Psychiatry Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME158355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117349200 | Medicaid | FL | |
| S5HML | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fgillani364262@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1020738 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windmoor Healthcare Inc | Psychiatry | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatry | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Psychiatry | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Hri Clinics, Inc. | Current | Accepting new patients | |
| Hri Clinics Inc | Current | 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
- fgillani364262@direct.tgh.org
- 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.
-
- Community/Behavioral Health Agency
- Woburn, MA
- NPI 1598707002
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
Psychiatry
-
- Community/Behavioral Health Agency
- Norwell, MA
- NPI 1922123199
-
- Behavior Analyst
- New York, NY
- NPI 1023772001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.