Individual provider Active NPI

Claudia A. Kroker-Bode, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1568467009
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME136581 Issued in FL
Practice address
13601 Bruce B Downs Blvd Ste 160
Tampa, FL 33613-4694
Phone
(813) 588-3516
Fax
(813) 497-2236
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D50040 MD
Internal Medicine Physician 207R00000X D50040 MD
Internal Medicine Physician 207R00000X 0101252869 VA
Internal Medicine Physician 207R00000X ME136581 FL Primary

Addresses

Primary practice location

13601 Bruce B Downs Blvd Ste 160
Tampa, FL 33613-4694

Mailing address

13601 Bruce B Downs Blvd Ste 160
Tampa, FL 33613-4694
Phone (813) 588-3516

Other identifiers 2

IdentifierTypeStateIssuer
416300100MedicaidMD
120005400MedicaidFL

Other names 1

  • Mrs. Claudia A. Kroker Former name

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
I20180822003397 FL Practitioner - Internal Medicine 9537115605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136581FLMDInternal Medicine Physician
0101252869VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Aug 6, 2024 Accepting new patients
Upper Chesapeake Medical Services, Inc Past Accepting new patients
Harford Primary Care LLC Family Medicine Past Accepting new patients

Locations

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

13601 Bruce B Downs Blvd
Ste 160
Tampa, FL 33613
Phone (813) 588-3516

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: ckrokerbode3737104@adventhealth.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1568467009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134694",
            "telephone_number": "813-588-3516",
            "fax_number": "813-497-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD STE 160",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134694",
            "telephone_number": "813-588-3516",
            "fax_number": "813-497-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROKER-BODE",
        "first_name": "CLAUDIA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D50040",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D50040",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101252869",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME136581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416300100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120005400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "KROKER",
            "middle_name": "A.",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.