Individual provider Active NPI

Theophilus Torgbor Sai, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1407874357
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME101036 Issued in FL
Practice address
3105 N 22ND St
Tampa, FL 33605-1915
Phone
(813) 626-0066
NPI assigned
Jul 18, 2006
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-109016 IL
Internal Medicine Physician 207R00000X ME101036 FL Primary

Addresses

Primary practice location

3105 N 22ND St
Tampa, FL 33605-1915

Mailing address

3218 W Horatio St
Tampa, FL 33609-3028
Phone (813) 600-9981

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
I20081208000368 FL Practitioner - Internal Medicine 0042279341 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-109016ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince May 2, 2022 Accepting new patients
Doctors Ipa Internal Medicine Past Accepting new patients
Esperanza Health Centers PastSince Apr 30, 2003 Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

7444 Palm River Rd
Tampa, FL 33619
Phone (813) 284-7903

3105 N 22nd St
Ybor City, FL 33605
Phone (813) 247-4502

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1407874357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 W HORATIO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093028",
            "telephone_number": "813-600-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336051915",
            "telephone_number": "813-626-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAI",
        "first_name": "THEOPHILUS",
        "middle_name": "TORGBOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-109016",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME101036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.