Organization Active NPI

Florida TMS Clinic

  • Psychiatry Physician
  • Wesley Chapel, FL
National Provider Identifier
1407406366
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FLORIDA TMS CLINIC
Practice address
26843 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4618
Phone
(813) 867-2378
Fax
(833) 214-9581
NPI assigned
Sep 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
MHD Khaled Bowarshi, MDNPI 1407135643
Title
MD
Phone
(813) 867-2378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

26843 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4618

Mailing address

26843 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4618
Phone (813) 867-2378

Other identifiers 1

IdentifierTypeStateIssuer
1407135643OtherFLNPI

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.officeally.com TMS Institute of America, LLC
Other URL www.officeally.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200224000895 FL Part B Supplier - Clinic/Group Practice 8123455656 Receives reassigned benefits from 1 practitioner
Practice locations: Wesley Chapel, FL

National Provider Directory

National Provider Directory

Locations

26843 Tanic Dr
Ste 101
Wesley Chapel, FL 33544
Phone (813) 867-2378

10420 Old Olive Street Rd
Ste 104
Saint Louis, MO 63141
Phone (314) 497-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1407406366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26843 TANIC DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444618",
            "telephone_number": "813-867-2378",
            "fax_number": "833-214-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26843 TANIC DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444618",
            "telephone_number": "813-867-2378",
            "fax_number": "833-214-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA TMS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "BOWARSHI",
        "authorized_official_first_name": "MHD KHALED",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "813-867-2378",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407135643",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.officeally.com",
            "affiliation": "Y",
            "endpointDescription": "electronic health record",
            "affiliationName": "TMS Institute of America, LLC",
            "address_1": "10420 Old Olive Street Rd",
            "address_2": "Suite 104",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.officeally.com",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "address_1": "26843 Tanic Dr Ste 101",
            "city": "Wesley Chapel",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335444618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.