Active NPI
Hernani Cualing, MD
- Hematology (Pathology) Physician
- Tampa, FL
National Provider Identifier
1649201054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Pathology) Physician
- License
- ME84854
- Practice address
- 4225 E Fowler Ave Ste B
Tampa, FL 33617-2026 - Phone
- (813) 972-7100
- Fax
- (813) 972-8269
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | ME84854 | FL | Primary |
Addresses
Primary practice location
4225 E Fowler Ave Ste B
Tampa, FL 33617-2026
Mailing address
14275 Midway Rd Ste B
Addison, TX 75001-3614
Phone (972) 934-4392
Other practice location 1
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (813) 972-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264294800 | Medicaid | FL | |
| 13628 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME84854 | FL | MD | Hematology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic Pathology Associates Inc | Past | Accepting new patients | |
| Ameripath Florida LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Pompano Beach, FL
- NPI 1952381477
-
- Anatomic Pathology & Clinical Pathology Physician
- Cincinnati, OH
- NPI 1417994880
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": "1507766400000",
"number": "1649201054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD STE B",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "972-934-4392",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 E FOWLER AVE STE B",
"city": "TAMPA",
"state": "FL",
"postal_code": "336172026",
"telephone_number": "813-972-7100",
"fax_number": "813-972-8269"
}
],
"practiceLocations": [
{
"address_1": "14275 Midway Rd",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Addison",
"state": "TX",
"postal_code": "750013614",
"country_code": "US",
"telephone_number": "813-972-7100",
"fax_number": "610-271-4245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUALING",
"first_name": "HERNANI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "FL",
"license": "ME84854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264294800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "13628",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.