Individual provider Active NPI

Elsa Ulfers Hale, M.D.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1497704043
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME81541 Issued in FL
Practice address
110 S Macdill Ave Ste 300
Tampa, FL 33609-3589
Phone
(813) 876-7073
Fax
(813) 877-1277
NPI assigned
May 10, 2006
Last updated
May 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME81541 FL Primary

Addresses

Primary practice location

110 S Macdill Ave Ste 300
Tampa, FL 33609-3589

Mailing address

6516 Gunn Hwy
Tampa, FL 33625-4022
Phone (813) 969-2340

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
I20050618000059 FL Practitioner - Obstetrics/Gynecology 0244274348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karon R Locicero MD PAGroup PAC ID 3678593357, 18 clinicians

Practice addresses (Care Compare)

110 S Macdill Ave
300 Locicero Medical Group
Tampa, FL 33609-4044
Phone (813) 876-7073

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81541FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karon R Locicero MD PA Obstetrics & Gynecology CurrentSince Feb 15, 2021 Accepting new patients
Locicero Hospital Group LLC Obstetrics & Gynecology CurrentSince Apr 7, 2022 Accepting new patients
Aps Gynecology, PA Obstetrics & Gynecology Past Accepting new patients
St Josephs Specialty Services Inc Past Accepting new patients

Locations

888 S Parsons Ave
Brandon, FL 33511
Phone (813) 684-2273

110 S Macdill Ave
Ste 300
Tampa, FL 33609
Phone (813) 331-4465

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1497704043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254022",
            "telephone_number": "813-969-2340",
            "fax_number": "813-969-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MACDILL AVE STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093589",
            "telephone_number": "813-876-7073",
            "fax_number": "813-877-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "ELSA",
        "middle_name": "ULFERS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME81541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.