NPIMap

Individual provider Active NPI

Jon Paul Gaudino, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tampa, FL
National Provider Identifier
1639288137
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME68779 Issued in FL
Practice address
3030 W Bearss Ave
Tampa, FL 33618
Phone
(419) 531-2127
Fax
(419) 531-2664
NPI assigned
Aug 29, 2006
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME68779 FL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME68779 FL Primary

Addresses

Primary practice location

3030 W Bearss Ave
Tampa, FL 33618

Mailing address

1967 Shore Acres Blvd NE
Saint Petersburg, FL 33703
Phone (727) 522-6687

Other identifiers 5

IdentifierTypeStateIssuer
250010137OtherFLRR MEDICARE
250011108OtherFLRR MEDICARE
253156900MedicaidFL
27430OtherFLBLUE SHIELD
250010136OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000400 FL Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Physical Medicine and Rehabilitation 9537336342 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Medical College of Pennsylvania, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alignmed Partners PCGroup PAC ID 9739447400, 34 clinicians
Alignmed Medical Group PCGroup PAC ID 3476090440, 62 clinicians

Practice addresses (Care Compare)

1315 2ND Ave N
Jacksonville, FL 32250-3694
Phone (904) 615-8076

14950 Casey Rd
Tampa, FL 33624-2317
Phone (813) 963-6100

300 Highland Ave N
Largo, FL 33770-2555
Phone (727) 559-8411

400 Lake Ave NE
Largo, FL 33771-1684
Phone (727) 559-7888

4927 Voorhees Rd
New Port Richey, FL 34653-5542
Phone (727) 848-3578

870 Patricia Ave
Dunedin, FL 34698-6022
Phone (727) 734-8861

9300 Antilles Dr
Seminole, FL 33776-2153
Phone (727) 517-7800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC Geriatric Medicine CurrentSince Feb 13, 2023 Accepting new patients
Alignmed Medical Group, PC Geriatric Medicine CurrentSince Jun 29, 2024 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Physical Medicine & Rehabilitation CurrentSince Jun 1, 1999 Accepting new patients
Genesis Eldercare Physician Services LLC Geriatric Medicine CurrentSince Feb 13, 2023 Accepting new patients
Alignmed Partners, PC Geriatric Medicine CurrentSince Feb 17, 2023 Accepting new patients

Locations

575 Lamar Ave
Brooksville, FL 34601
Phone (352) 799-2226

870 Patricia Ave
Dunedin, FL 34698
Phone (727) 734-8861

8495 Normandy Blvd
Jacksonville, FL 32221
Phone (570) 352-3063

1315 2nd Ave N
Jax Bch, FL 32250
Phone (904) 615-8076

4973 SW 75th Ave
Miami, FL 33155
Phone (305) 273-8988

6135 Rattlesnake Hammock Rd
Naples, FL 34113
Phone (239) 775-7661

4927 Voorhees Rd
New Prt Rchy, FL 34653
Phone (727) 484-3326

9300 Antilles Dr
Seminole, FL 33776
Phone (727) 517-7800

5901 NW 79th Ave
Tamarac, FL 33321
Phone (954) 722-7001

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

2300 Village Blvd
West Palm Beach, FL 33409
Phone (561) 478-1800

Hcr Manorcare Medical Serv
Columbus, OH 43260

L2540
Columbus, OH 43260

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1639288137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 SHORE ACRES BLVD NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33703",
            "telephone_number": "727-522-6687",
            "fax_number": "727-526-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33618",
            "telephone_number": "419-531-2127",
            "fax_number": "419-531-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDINO",
        "first_name": "JON",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME68779",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME68779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "250010137",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "250011108",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253156900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "27430",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "250010136",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.