Individual provider Active NPI

Ivaylo Gueorguiev, DOM, DACM, AP

  • Acupuncturist
  • Tampa, FL
National Provider Identifier
1487149589
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3960 Issued in FL
Practice address
2605 W Swann Ave Ste 600
Tampa, FL 33609
Phone
(813) 444-2020
Fax
(844) 946-0885
NPI assigned
Jun 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3960 FL Primary

Addresses

Primary practice location

2605 W Swann Ave Ste 600
Tampa, FL 33609

Mailing address

PO Box 152592
Tampa, FL 33684-2592
Phone (813) 444-2020

Other practice location 1

3109 Lithia Pinecrest Rd
Valrico, FL 33596-5632
Phone (813) 444-2020

Other practice location 2

3119 E 7th Ave
Tampa, FL 33605-4207
Phone (813) 444-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Medicine Acupuncture Acupuncturist Current Accepting new patients

Locations

3119 E 7th Ave
Tampa, FL 33605
Phone (813) 444-2020

2605 W Swann Ave
Ste 600
Tampa, FL 33609
Phone (813) 870-2528

3109 Lithia Pinecrest Rd
Valrico, FL 33596
Phone (718) 666-8759

Organizations & group practices 1

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": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1487149589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152592",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336842592",
            "telephone_number": "813-444-2020",
            "fax_number": "813-877-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-444-2020",
            "fax_number": "844-946-0885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3109 Lithia Pinecrest Rd",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "335965632",
            "country_code": "US",
            "telephone_number": "813-444-2020",
            "fax_number": "844-946-0885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3119 E 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336054207",
            "country_code": "US",
            "telephone_number": "813-444-2020",
            "fax_number": "844-946-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEORGUIEV",
        "first_name": "IVAYLO",
        "name_prefix": "Dr.",
        "credential": "DOM, DACM, AP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-30",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; 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.