Individual provider Active NPI

Christian A Perzanowski-Obregon, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Brandon, FL
National Provider Identifier
1649229758
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME 95425 Issued in FL
Practice address
635 Eichenfeld Dr
Brandon, FL 33511-5908
Phone
(813) 684-6000
Fax
(813) 654-9032
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME 95425 FL Primary

Addresses

Primary practice location

635 Eichenfeld Dr
Brandon, FL 33511-5908

Mailing address

635 Eichenfeld Dr
Brandon, FL 33511-5908
Phone (813) 684-6000

Other identifiers 1

IdentifierTypeStateIssuer
2023073OtherMEDICARE

Other names 1

  • Christian A Perzanowski Other name

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
I20060814000109 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5799788733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Cardiology Assoc. PAGroup PAC ID 4688637598, 20 clinicians

Practice addresses (Care Compare)

10740 Palm River Rd
Suite 370
Tampa, FL 33619-4578
Phone (813) 684-6000

13029 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 684-6000

3920 Galen CT
Sun City Center, FL 33573-6817
Phone 8136846000228

635 Eichenfeld Dr
Brandon, FL 33511-5908
Phone 8136846000228

Hospital & facility affiliations

  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 95425FLMDClinical Cardiac Electrophysiology Physician
01737NCMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Cardiology Assoc. PA CurrentSince Jan 2, 2011 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

635 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 684-6000

13029 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 684-6000

13029 Summerfield Square Dr
Ste 850
Riverview, FL 33578

3920 Galen Ct
Sun City Center, FL 33573
Phone (813) 684-6000

10740 Palm River Rd
Ste 370
Tampa, FL 33619
Phone (813) 684-6000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: cperzanowski8776@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61104

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.

Hospital & facility affiliations 5

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1649229758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 EICHENFELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115908",
            "telephone_number": "813-684-6000",
            "fax_number": "813-654-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 EICHENFELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115908",
            "telephone_number": "813-684-6000",
            "fax_number": "813-654-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERZANOWSKI-OBREGON",
        "first_name": "CHRISTIAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME 95425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2023073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIAN",
            "last_name": "PERZANOWSKI",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.