NPIMap

Individual provider Active NPI

Charles David Talakkottur, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1598949034
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100711 Issued in FL
Practice address
5106 N Armenia Ave
Suite 1
Tampa, FL 33603-1433
Phone
(813) 874-1852
Fax
(813) 227-8526
NPI assigned
Dec 19, 2007
Last updated
May 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME100711 FL Primary

Addresses

Primary practice location

5106 N Armenia Ave
Suite 1
Tampa, FL 33603-1433

Mailing address

5106 N Armenia Ave
Suite 1
Tampa, FL 33603-1433
Phone (813) 874-1852

Other identifiers 1

IdentifierTypeStateIssuer
280404200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, MI, TN, GA, MO, TX, CO, MT, IN10 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20080412000047 FL Practitioner - Internal Medicine 5092892281 Reassigns benefits to 3 organizations
I20250204000552 NY Practitioner - Geriatric Medicine 5092892281 Reassigns benefits to 1 organization
I20250308000166 MI Practitioner - Internal Medicine 5092892281 Reassigns benefits to 2 organizations
I20250515001488 TN Practitioner - Internal Medicine 5092892281 Reassigns benefits to 1 organization
I20250521000737 GA Practitioner - Internal Medicine 5092892281 Reassigns benefits to 1 organization
I20250625003887 MO Practitioner - Internal Medicine 5092892281 Reassigns benefits to 1 organization
I20250715002931 TX Practitioner - Internal Medicine 5092892281 Reassigns benefits to 1 organization
I20250821002539 CO Practitioner - Internal Medicine 5092892281 Reassigns benefits to 2 organizations
I20251030002301 MT Practitioner - Internal Medicine 5092892281 Reassigns benefits to 1 organization
I20260507002812 IN Practitioner - Internal Medicine 5092892281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sailor Health Medical of California, P.CGroup PAC ID 9638651813, 8 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians

Practice addresses (Care Compare)

Santa Rosa, CA 95404
Phone (240) 200-0173

1 Veterans Way
Knoxville, TN 37931-3161
Phone (865) 862-8100

105 Bernard Dr
Belton, MO 64012-6181
Phone (816) 348-8815

1225 Woodward Ave
Kingsford, MI 49802-4312
Phone (906) 774-4805

1451 Newton Dr
Tifton, GA 31794-3752
Phone (248) 660-1220

19100 W 7 Mile Rd
Detroit, MI 48219-2758
Phone (313) 533-5002

2825 Patterson Rd
Grand Junction, CO 81506-6065
Phone (248) 660-1220

5100 John D Ryan Blvd
San Antonio, TX 78245-3527
Phone (248) 660-1220

5106 N Armenia Ave
Suite 1
Tampa, FL 33603-1433
Phone (813) 874-1852

65 Veterans Cir
Butte, MT 59701-7536
Phone (406) 792-3100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Southeast H PLLC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Medassist NJ II CurrentSince Jan 29, 2025 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Apr 14, 2024 Accepting new patients
Medequipped LLC CurrentSince Jan 29, 2025 Accepting new patients
TLC Medical LLC Internal Medicine CurrentSince Feb 1, 2009 Accepting new patients
Butte Nursing and Rehab Center LLC Past Accepting new patients
Copper Ridge Nursing and Rehab Center LLC Past Accepting new patients
Optalis Kingsford Opco LLC Past Accepting new patients
Theoria Medical Internal Medicine Past Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Callon Doc Past Accepting new patients
Sarasota-Manatee Jewish Housing Council, Inc. Past Accepting new patients
Complexcare Medical Group Midwest M PLLC Internal Medicine Past Accepting new patients
Mochi Medical KS PC Past Accepting new patients
Saint Francis Medical Center Internal Medicine Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Pinecrest Medical Care Facility Past Accepting new patients
Sweetwater Butte Opco LLC Past Accepting new patients

Locations (25 of 33)

2501 Little Bookcliff Dr
Grand Junction, CO 81501
Phone (970) 245-1211

2825 Patterson Rd
Grand Junction, CO 81506
Phone (970) 242-7356

1401 S Cascade Ave
Montrose, CO 81401
Phone (970) 249-9634

2145 N Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8787

130 Moorings Park Dr
Naples, FL 34105
Phone (239) 430-6319

1053 John Sims Pkwy E
Niceville, FL 32578
Phone (850) 768-0213

21281 Grayton Ter
Pt Charlotte, FL 33954
Phone (941) 613-0919

2370 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 624-5966

10866 Sheldon Rd
Tampa, FL 33626
Phone (813) 920-0746

5106 N Armenia Ave
Tampa, FL 33603
Phone (813) 353-0900

5106 N Armenia Ave
Ste 1
Tampa, FL 33603
Phone (813) 874-1852

2144 Welbilt Blvd
Trinity, FL 34655
Phone (727) 376-3658

2300 Village Blvd
West Palm Beach, FL 33409
Phone (561) 478-1800

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

1451 Newton Dr
Tifton, GA 31794
Phone (229) 382-1665

211 Mathis Ave
Twin City, GA 30471
Phone (478) 763-2141

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

1225 Woodward Ave
Kingsford, MI 49802
Phone (906) 774-4805

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1598949034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 N ARMENIA AVE",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031433",
            "telephone_number": "813-874-1852",
            "fax_number": "813-227-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 N ARMENIA AVE",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031433",
            "telephone_number": "813-874-1852",
            "fax_number": "813-227-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAKKOTTUR",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280404200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.