Individual provider Active NPI

Theresa A. Buck, M.D.

  • Pulmonary Disease Physician
  • Clearwater, FL
National Provider Identifier
1619991593
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME78494 Issued in FL
Practice address
5771 Roosevelt Blvd
The Hospice of the Florida Suncoast
Clearwater, FL 33760
Phone
(727) 586-4432
Fax
(727) 523-3257
NPI assigned
Jul 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME78494 FL
Pulmonary Disease Physician 207RP1001X ME78494 FL Primary

Addresses

Primary practice location

5771 Roosevelt Blvd
The Hospice of the Florida Suncoast
Clearwater, FL 33760

Mailing address

5771 Roosevelt Blvd
The Hospice of the Florida Suncoast
Clearwater, FL 33760
Phone (727) 586-4432

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
I20040626000279 FL Practitioner - Emergency MedicinePractitioner - Internal Medicine 7416933833 Practice locations: Bay Pines, FL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Emergency Physicians LLC Past Accepting new patients
Tallahassee Pulmonary Clinic Critical Care Medicine Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619991593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5771 ROOSEVELT BLVD",
            "address_2": "THE HOSPICE OF THE FLORIDA SUNCOAST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33760",
            "telephone_number": "727-586-4432",
            "fax_number": "727-523-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 ROOSEVELT BLVD",
            "address_2": "THE HOSPICE OF THE FLORIDA SUNCOAST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33760",
            "telephone_number": "727-586-4432",
            "fax_number": "727-523-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "THERESA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME78494",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME78494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.