Individual provider Active NPI

Mia Elisa Branch, MD

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1629008388
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME87804 Issued in FL
Practice address
5002 W Lemon St
Tampa, FL 33609
Phone
(813) 286-0033
Fax
(813) 282-1806
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD418731 PA
Hospitalist Physician 208M00000X ME87804 FL
Obstetrics & Gynecology Physician 207V00000X ME87804 FL Primary

Addresses

Primary practice location

5002 W Lemon St
Tampa, FL 33609

Mailing address

PO Box 25317
Tampa, FL 33622-5317
Phone (813) 286-0033

Other identifiers 4

IdentifierTypeStateIssuer
79088OtherFLBCBS
267607900MedicaidFL
MD418731OtherPAPA MEDICAL LICENSE
P00093876OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, LA, DC, AR, MD, NJ7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20080618000763 FL Practitioner - Obstetrics/Gynecology 0840361838 Reassigns benefits to 3 organizations
I20201118000799 GA Practitioner - Obstetrics/Gynecology 0840361838 Reassigns benefits to 1 organization
I20210106000975 LA Practitioner - Obstetrics/Gynecology 0840361838 Reassigns benefits to 1 organization
I20231214001376 DC Practitioner - Obstetrics/Gynecology 0840361838 Reassigns benefits to 1 organization
I20250214001393 AR Practitioner - Obstetrics/Gynecology 0840361838 Reassigns benefits to 1 organization
I20251208002916 MD Practitioner - Obstetrics/Gynecology 0840361838 Reassigns benefits to 1 organization
I20260212003689 NJ Practitioner - Obstetrics/Gynecology 0840361838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of Pennsylvania PCGroup PAC ID 7911402953, 5 clinicians
DHP of Arkansas PAGroup PAC ID 3779731104, 18 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-5400

1555 Exchange Ave
Conway, AR 72032-7824
Phone (501) 585-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD418731PAMDObstetrics & Gynecology Physician
ME87804FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Louisiana PC Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DHP of Arkansas PA Obstetrics & Gynecology CurrentSince Dec 12, 2024 Accepting new patients
DHP of Pennsylvania PC Obstetrics & Gynecology CurrentSince Oct 19, 2025 Accepting new patients
DHP of Virginia PC Obstetrics & Gynecology CurrentSince Dec 29, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
DHP of New Jersey PA Obstetrics & Gynecology CurrentSince Feb 2, 2026 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince May 1, 2018 Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Mar 20, 2020 Accepting new patients
DHP of Piedmont PC Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince May 1, 2018 Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients

Locations

1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

5002 W Lemon St
Tampa, FL 33609

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

65 James St
Edison, NJ 08820
Phone (732) 321-7010

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

1111 Franklin St
Ste 300
Johnstown, PA 15905
Phone (814) 534-9203

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

Organizations & group practices 12

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1629008388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25317",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225317",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 W LEMON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "MIA",
        "middle_name": "ELISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD418731",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME87804",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME87804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "79088",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267607900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICAL LICENSE",
            "identifier": "MD418731",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00093876",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.