NPIMap

Organization Active NPI

Promed Ipa LLC

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1457218596
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROMED IPA LLC
Practice address
3301 66TH St N Ste a
St Petersburg, FL 33710-1547
Phone
(727) 344-6200
Fax
(727) 344-6222
NPI assigned
Jan 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Paneendra Tirupathi
Title
Administrator
Phone
(727) 492-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3301 66TH St N Ste a
St Petersburg, FL 33710-1547

Mailing address

3301 66TH St N Ste a
St Petersburg, FL 33710-1547
Phone (727) 344-6200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1457218596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 66TH ST N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101547",
            "telephone_number": "727-344-6200",
            "fax_number": "727-344-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 66TH ST N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101547",
            "telephone_number": "727-344-6200",
            "fax_number": "727-344-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED IPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "TIRUPATHI",
        "authorized_official_first_name": "PANEENDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-492-5699"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.