Individual provider Active NPI

Thierry R Chapuis, PA-C

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1427065085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101563 Issued in FL
Practice address
8002 Gunn Hwy
Tampa, FL 33626-1603
Phone
(813) 880-7546
Fax
(813) 792-7895
NPI assigned
Aug 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101563 FL Primary

Addresses

Primary practice location

8002 Gunn Hwy
Tampa, FL 33626-1603

Mailing address

10847 May Apple CT
Land O Lakes, FL 34638-7900
Phone (813) 787-7953

Other identifiers 1

IdentifierTypeStateIssuer
291629100MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000723 FL Practitioner - Physician Assistant 9032376892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10820 Sheldon Rd
Tampa, FL 33626-5117
Phone (813) 886-7673

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101563FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Norman, D.O., P.a. Past Accepting new patients

Organizations & group practices 3

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427065085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10847 MAY APPLE CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387900",
            "telephone_number": "813-787-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261603",
            "telephone_number": "813-880-7546",
            "fax_number": "813-792-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPUIS",
        "first_name": "THIERRY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291629100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.