Active NPI
Bill Foo, M.D.
- Pediatrics Physician
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME157305
- Practice address
- 10729 Queens Town Dr
Riverview, FL 33579-7186 - Phone
- (813) 672-3497
- Fax
- (813) 741-2418
- NPI assigned
- May 13, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME157305 | FL | |
| Pediatrics Physician | 208000000X | A155650 | CA | |
| Pediatrics Physician | 208000000X | ME157305 | FL | Primary |
Addresses
Primary practice location
10729 Queens Town Dr
Riverview, FL 33579-7186
Mailing address
720 Brooker Creek Blvd Ste 215
Oldsmar, FL 34677-2937
Phone (813) 854-2003
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155650 | CA | MD | Pediatrics Physician |
| ME157305 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Health Care Alliance, PA | Pediatrics | Current | Accepting new patients |
| Pediatric Physician Services, Inc. | Pediatrics | Current | Accepting new patients |
| Pediatric Health Care Alliance, PA | Pediatrics | Past | Accepting new patients |
Locations
720 Brooker Creek Blvd
Ste 215
Oldsmar, FL 34677
Phone (813) 854-2003
10729 Queens Town Dr
Riverview, FL 33579
Phone (813) 672-3497
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060
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 All Children's Specialty Physicians
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
-
- Pediatrics Physician
- Riverview, FL
- NPI 1831865609
-
- Pediatrics Physician
- Oldsmar, FL
- NPI 1609965441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1679951347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 BROOKER CREEK BLVD STE 215",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346772937",
"telephone_number": "813-854-2003",
"fax_number": "813-436-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10729 QUEENS TOWN DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797186",
"telephone_number": "813-672-3497",
"fax_number": "813-741-2418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOO",
"first_name": "BILL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-13",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME157305",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A155650",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME157305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.