NPIMap

Organization Active NPI

Infectious Disease Consultants of West Florida LLC

  • Infectious Disease Physician
  • Tampa, FL
National Provider Identifier
1609304849
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE CONSULTANTS OF WEST FLORIDA LLC
Practice address
4710 N Habana Ave Ste 200
Tampa, FL 33614-7146
Phone
(813) 450-3457
Fax
(877) 235-3648
NPI assigned
Jun 1, 2017
Last updated
Jul 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Dr. Anil Chopra, MDNPI 1700081668
Title
President
Phone
(312) 402-6331

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

4710 N Habana Ave Ste 200
Tampa, FL 33614-7146

Mailing address

4710 N Habana Ave Ste 200
Tampa, FL 33614-7146
Phone (813) 450-3457

Other practice location 1

260 34th St N
St Petersburg, FL 33713-8508
Phone (813) 450-3457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170728002917 FL Part B Supplier - Clinic/Group Practice 0648541367 Receives reassigned benefits from 9 practitioners
Practice locations: Tampa, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2321736Infectious Disease Consultants of West Florida LLC4710 North Habana, Suite 200, Tampa, FL 33614Certificate of waiverApr 8, 2027

National Provider Directory

National Provider Directory

Locations

1752 Mlk Jr St N
St Petersburg, FL 33704
Phone (727) 823-7224

260 34th St N
St Petersburg, FL 33713
Phone (813) 450-3457

4710 N Habana Ave
Ste 200
Tampa, FL 33614
Phone (813) 450-3457

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1609304849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147146",
            "telephone_number": "813-450-3457",
            "fax_number": "877-235-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N HABANA AVE STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147146",
            "telephone_number": "813-450-3457",
            "fax_number": "877-235-3648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 34th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337138508",
            "country_code": "US",
            "telephone_number": "813-450-3457",
            "fax_number": "877-235-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS OF WEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "CHOPRA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-402-6331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "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 Jul 1, 2024; 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.

Verify at the official NPI Registry.