Active NPI
Elzbieta Kolanko, MD
- Family Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME125513
- Practice address
- 2501 W Kennedy Blvd
Tampa, FL 33609 - Phone
- (813) 844-1385
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME125513 | FL | Primary |
Addresses
Primary practice location
2501 W Kennedy Blvd
Tampa, FL 33609
Mailing address
2501 W Kennedy Blvd
Tampa, FL 33609
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-115103 | Other | IL | STATE LICENSE |
| ME 125513 | Other | FL | LICENSE |
| 11869039 | Other | CAQH | |
| FK0769058 | Other | DEA | |
| 015879700 | Medicaid | FL | |
| 036115103 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ekoslaczkolanko108343@direct.tgh.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sports and Orthopedic Rehabilitation Services Inc
Practice addresses (Care Compare)
2501 W Kennedy Blvd
Tampa, FL 33609-3305
Phone (813) 844-0344
3411 S Dale Mabry Hwy
Tampa, FL 33629-8658
Phone (813) 742-9501
Hospital & facility affiliations
- Vna Plus
- Tampa General Hospital
- Tampa General Hospital Crystal River
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Family Medicine | Past | Accepting new patients |
| VHS of Illinois Inc | Family Medicine | Past | Accepting new patients |
Locations
214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302
2501 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 844-0344
5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100
2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200
Interoperability endpoints
- ekoslaczkolanko108343@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 6
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.
-
- Surgery Physician
- Tampa, FL
- NPI 1043557853
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
- Family Medicine Physician
- Riverview, FL
- NPI 1184965816
-
- Family Medicine Physician
- Tampa, FL
- NPI 1164769063
-
- Family Medicine Physician
- Berwyn, IL
- NPI 1124006705
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- General Acute Care Hospital
- Crystal River, FL
- NPI 1407637531
-
- Home Health Agency
- Tampa, FL
- NPI 1770586257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1689687436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W KENNEDY BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "33609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W KENNEDY BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "33609",
"telephone_number": "813-844-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLANKO",
"first_name": "ELZBIETA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2023-09-27",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME125513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036-115103",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME 125513",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11869039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEA",
"identifier": "FK0769058",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015879700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036115103",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ekoslaczkolanko108343@direct.tgh.org",
"affiliation": "N",
"address_1": "2501 W Kennedy Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "33609",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.