Individual provider Active NPI

Mark Gjurashaj, DO

  • Family Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1346878949
Registry record updated Jul 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS20239 Issued in FL
Practice address
11175 County Line Rd
Spring Hill, FL 34609-5615
Phone
(727) 831-7708
NPI assigned
Mar 30, 2020
Last updated
Jul 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS20239 FL Primary

Addresses

Primary practice location

11175 County Line Rd
Spring Hill, FL 34609-5615

Mailing address

11175 County Line Rd
Spring Hill, FL 34609-5615
Phone (727) 831-7708

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
I20230821000228 FL Practitioner - Family Practice 8921429242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

2433 Country Place Blvd
Trinity, FL 34655-1163
Phone (813) 844-8200

8425 Northcliffe Blvd
Spring Hill, FL 34606-1107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20239FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Dec 1, 2023 Accepting new patients
Tampa General Medical Group Inc Family Medicine CurrentSince Dec 1, 2023 Accepting new patients

Locations

11175 County Line Rd
Spring Hill, FL 34609
Phone (352) 686-8884

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mgjurashaj300938@direct.tgh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1346878949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 COUNTY LINE RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095615",
            "telephone_number": "727-831-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 COUNTY LINE RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095615",
            "telephone_number": "727-831-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJURASHAJ",
        "first_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS20239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.