Individual provider Active NPI

Anid Orbezo Phelps, MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1407873177
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME94653 Issued in FL
Practice address
10611 Cory Lake Dr
Tampa, FL 33647-2996
Phone
(813) 486-2094
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 ME94653 FL Primary

Addresses

Primary practice location

10611 Cory Lake Dr
Tampa, FL 33647-2996

Mailing address

10611 Cory Lake Dr
Tampa, FL 33647-2996

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
I20070817000694 FL Practitioner - Family Practice 7719079870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.18 of 100Reported as apm
Quality
70.68
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Floridian Emergency Specialists LLC Emergency Medicine Current Accepting new patients
Polk Emergency Group LLC Emergency Medicine CurrentSince Aug 1, 2012 Accepting new patients
Carlton ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Emergency Services of Zephyrhills PA Emergency Medicine Past Accepting new patients
East Pasco Emergency Consultant Emergency Medicine Past Accepting new patients
Sebring Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Sabal Palm Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

Interoperability endpoints

  • Direct secure messaging: aphelps21843@direct.watsonclinicad.com

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.

Hospital & facility affiliations 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1407873177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 CORY LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 CORY LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472996",
            "telephone_number": "813-486-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "ANID",
        "middle_name": "ORBEZO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.