Individual provider Active NPI

Elaine Melissa Aquino, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1629502513
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
72972 Issued in WI
Practice address
5112 N Habana Ave
Tampa, FL 33614-6873
Phone
(813) 374-2406
Fax
(813) 374-2407
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 72972 WI Primary

Addresses

Primary practice location

5112 N Habana Ave
Tampa, FL 33614-6873

Mailing address

5112 N Habana Ave
Tampa, FL 33614-6873
Phone (813) 374-2406

Other practice location 1

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-4835

Other practice location 2

1881 Chicago St
DE Pere, WI 54115-3770
Phone (920) 403-8000

Other identifiers 1

IdentifierTypeStateIssuer
100101649MedicaidWI

Other names 1

  • Elaine Melissa Racero Feliz Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address eaquino@accordmedicalgroup.com

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
I20240515000046 FL Practitioner - Internal Medicine 9436576881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians
Accord Medical Group,PLLCGroup PAC ID 2062685241, 6 clinicians

Practice addresses (Care Compare)

4949 4TH St N
St Petersburg, FL 33703-3800
Phone (727) 828-6370

5112 N Habana Ave
Tampa, FL 33614-6873
Phone (813) 374-2406

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Mar 3, 2026 Accepting new patients
Tampa General Medical Group Inc CurrentSince Mar 3, 2026 Accepting new patients
Accord Medical Group,PLLC Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

4949 4th St N
St Petersburg, FL 33703
Phone (727) 828-6370

5112 N Habana Ave
Tampa, FL 33614
Phone (813) 374-2406

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1629502513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146873",
            "telephone_number": "813-374-2406",
            "fax_number": "813-374-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146873",
            "telephone_number": "813-374-2406",
            "fax_number": "813-374-2407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-572-4835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1881 Chicago St",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541153770",
            "country_code": "US",
            "telephone_number": "920-403-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "ELAINE",
        "middle_name": "MELISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "72972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100101649",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1881 Chicago St",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541153770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eaquino@accordmedicalgroup.com",
            "affiliation": "N",
            "address_1": "5112 N Habana Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336146873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "RACERO FELIZ",
            "middle_name": "MELISSA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.