Active NPI
Hugo F Ventura Tavares, MD
- Internal Medicine Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ACN415
- Practice address
- 1111 Oakfield Dr Ste 114
Brandon, FL 33511-4948 - Phone
- (813) 324-9899
- Fax
- (813) 502-6111
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22351 | WV | |
| Internal Medicine Physician | 207R00000X | 4301086975 | MI | |
| Internal Medicine Physician | 207R00000X | 9351 | PR | |
| Internal Medicine Physician | 207R00000X | ACN415 | FL | Primary |
Addresses
Primary practice location
1111 Oakfield Dr Ste 114
Brandon, FL 33511-4948
Mailing address
1111 Oakfield Dr Ste 114
Brandon, FL 33511-4948
Phone (787) 485-2914
Other names 1
- Hugo F Ventura Tavares
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1387 Oakfield Dr
Brandon, FL 33511-4862
Phone (813) 334-9899
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9351 | PR | MD | Social Worker |
| ACN415 | FL | MD | Internal Medicine Physician |
| 22351 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Place for Your Health, LLC | Internal Medicine | Current | Accepting new patients |
| Kristi L Conway DPM PA | Past | Accepting new patients | |
| Wetzel County Hospital Association | Past | Accepting new patients |
Locations
411 Lithia Pinecrest Rd
Brandon, FL 33511
Phone (813) 334-9899
1111 Oakfield Dr
Ste 114
Brandon, FL 33511
Phone (813) 385-8721
1387 Oakfield Dr
Brandon, FL 33511
Phone (813) 334-9899
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 and National Provider Directory roles.
-
dba Dr. Hugo Francisco Ventura Tavares
- Internal Medicine Physician
- Brandon, FL
- NPI 1649727397
-
dba Wetzel Primary Care
- Rural Health Clinic/Center
- New Martinsville, WV
- NPI 1609272343
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tampa, FL
- NPI 1588841571
-
- Home Health Agency
- Tampa, FL
- NPI 1174929889
-
- Home Health Agency
- Tampa, FL
- NPI 1801066071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1629034483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 OAKFIELD DR STE 114",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114948",
"telephone_number": "787-485-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 OAKFIELD DR STE 114",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114948",
"telephone_number": "813-324-9899",
"fax_number": "813-502-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA TAVARES",
"first_name": "HUGO",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "22351",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301086975",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "9351",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ACN415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HUGO",
"last_name": "VENTURA TAVARES",
"middle_name": "F",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.