Active NPI
Tampa Internist Professional Associate
- Primary Care Clinic/Center
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- TAMPA INTERNIST PROFESSIONAL ASSOCIATE
- Practice address
- 4543 S Manhattan Ave
Ste. 103
Tampa, FL 33611-2330 - Phone
- (813) 831-8888
- Fax
- (813) 831-6292
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nimesh Panchigar, MD
- Title
- MD
- Phone
- (813) 684-5098
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | FL | Primary |
Addresses
Primary practice location
4543 S Manhattan Ave
Ste. 103
Tampa, FL 33611-2330
Mailing address
5915 Jaegerglen Dr
Lithia, FL 33547-5864
Phone (813) 684-5098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0291323 | Tampa Internist PA | Certificate of waiver | Jun 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
4543 S Manhattan Ave
Ste 103
Tampa, FL 33611
Phone (813) 831-8888
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1346279148
-
- Nurse Practitioner
- Melbourne, FL
- NPI 1205832565
-
- Physical Therapist
- Tampa, FL
- NPI 1083787469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603411200000",
"number": "1497866560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 JAEGERGLEN DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335475864",
"telephone_number": "813-684-5098",
"fax_number": "813-684-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4543 S MANHATTAN AVE",
"address_2": "STE. 103",
"city": "TAMPA",
"state": "FL",
"postal_code": "336112330",
"telephone_number": "813-831-8888",
"fax_number": "813-831-6292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMPA INTERNIST PROFESSIONAL ASSOCIATE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A",
"authorized_official_last_name": "PANCHIGAR",
"authorized_official_first_name": "NIMESH",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "813-684-5098",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Tampa Housing Authority
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- Tampa Injury Center LLC
- Tampa Interventional Spine Physicians LLC
- Tampa Jackson Springs SNF LLC
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- Tampa JCC / Federation Inc.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.