Individual provider Active NPI

Ryan Thomas Cardew, MD

  • Infectious Disease Physician
  • Tampa, FL
National Provider Identifier
1457880460
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036.156048 Issued in IL
Practice address
4729 N Habana Ave
Tampa, FL 33614-7113
Phone
(813) 251-8444
Fax
(813) 200-3812
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD470387 PA
Student in an Organized Health Care Education/Training Program 390200000X MT213491 PA
Infectious Disease Physician 207RI0200X 036.156048 IL Primary

Addresses

Primary practice location

4729 N Habana Ave
Tampa, FL 33614-7113

Mailing address

4729 N Habana Ave
Tampa, FL 33614-7113
Phone (813) 251-8444

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (121) 545-6852

Other practice location 2

251 E Huron St
Chicago, IL 60611-2908
Phone (312) 695-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200630001370 PA Practitioner - Internal Medicine 2264854744 Reassigns benefits to 1 organization
I20230504000097 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 2264854744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of South Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Margarita R Cancio MD PAGroup PAC ID 0345338554, 20 clinicians

Practice addresses (Care Compare)

4729 N Habana Ave
Tampa, FL 33614-7113
Phone (813) 251-8444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.156048ILMDInfectious Disease Physician
MT213491PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2020 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Margarita R Cancio MD PA Infectious Disease CurrentSince May 1, 2023 Accepting new patients
Einstein Practice Plan Inc Internal Medicine Past Accepting new patients

Locations

4729 N Habana Ave
Tampa, FL 33614
Phone (813) 251-8444

5504 Gateway Blvd
Ste 102
Wesley Chapel, FL 33544
Phone (813) 251-8444

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

5401 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-8220

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 7

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1457880460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147113",
            "telephone_number": "813-251-8444",
            "fax_number": "813-200-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147113",
            "telephone_number": "813-251-8444",
            "fax_number": "813-200-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "121-545-6852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 E Huron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112908",
            "country_code": "US",
            "telephone_number": "312-695-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDEW",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD470387",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT213491",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036.156048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.