Individual provider Active NPI

Dennis K Ledford, M.D.

  • Allergy & Immunology Physician
  • Tampa, FL
National Provider Identifier
1376528042
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME39340 Issued in FL
Practice address
13801 Bruce B Downs Blvd
Suite 502
Tampa, FL 33613-3946
Phone
(813) 971-9743
Fax
(813) 558-9421
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME39340 FL Primary

Addresses

Primary practice location

13801 Bruce B Downs Blvd
Suite 502
Tampa, FL 33613-3946

Mailing address

13801 Bruce B Downs Blvd
Suite 502
Tampa, FL 33613-3946
Phone (813) 971-9743

Other identifiers 2

IdentifierTypeStateIssuer
62349AOtherFLBCBS
064911200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dledford8239@direct.tgh.org

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
I20040210000397 FL Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Rheumatology 4981598125 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Service Association Inc Allergy & Immunology CurrentSince Dec 14, 1981 Accepting new patients
Tampa General Hospital Current Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Current Accepting new patients
University Medical Service Association Inc Current Accepting new patients
University Medical Service Association Inc CurrentSince Dec 14, 1981 Accepting new patients
Glaum & Cho M.D.S, P.a. Allergy & Immunology CurrentSince Apr 1, 1988 Accepting new patients
Advanced Podiatry PA PastSince Oct 1, 2003 Accepting new patients

Locations

12901 N 30th St
Tampa, FL 33612
Phone (813) 974-0703

13801 Bruce B Downs Blvd
Ste 502
Tampa, FL 33613
Phone (813) 971-9743

12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103

12901 Bruce B Downs Blvd
#62
Tampa, FL 33612

2 Tampa General Cir
Fl 2
Tampa, FL 33606
Phone (813) 209-8596

Interoperability endpoints

  • Direct secure messaging: dledford8239@direct.tgh.org
  • Direct secure messaging: dennis.ledford.1@18455.direct.athenahealth.com
  • Direct secure messaging: dennis.ledford@direct.moffitt.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1376528042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 502",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133946",
            "telephone_number": "813-971-9743",
            "fax_number": "813-558-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 502",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133946",
            "telephone_number": "813-971-9743",
            "fax_number": "813-558-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "DENNIS",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME39340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62349A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064911200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dledford8239@direct.tgh.org",
            "affiliation": "N",
            "address_1": "13801 Bruce B Downs Blvd",
            "address_2": "Suite 502",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336133946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.