Individual provider Active NPI

Evan K Tummel, M.D.

  • Surgery Physician
  • Brandon, FL
National Provider Identifier
1689846024
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME107238 Issued in FL
Practice address
515 S Kings Ave Ste 1100
Brandon, FL 33511-6060
Phone
(813) 530-4944
Fax
(813) 530-4495
NPI assigned
Mar 26, 2008
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME107238 FL Primary

Addresses

Primary practice location

515 S Kings Ave Ste 1100
Brandon, FL 33511-6060

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other identifiers 1

IdentifierTypeStateIssuer
014367100MedicaidFL

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
I20130603000655 FL Practitioner - General SurgeryPractitioner - Internal Medicine 6709024789 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

515 S Kings Ave
Suite 3100
Brandon, FL 33511-5921
Phone (813) 681-9171

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy21
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107238FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC CurrentSince May 1, 2015 Accepting new patients
Tampa General Hospital Current Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince May 1, 2015 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Apr 13, 2013 Accepting new patients
KND Development 59, LLC CurrentSince Apr 13, 2013 Accepting new patients
Womens Care Florida LLC Surgery PastSince May 1, 2021 Accepting new patients
Stephen P. Snow, M.D., P.a. Past Accepting new patients

Locations

515 S Kings Ave
Ste 1100
Brandon, FL 33511
Phone (813) 413-5213

515 S Kings Ave
Ste 3100
Brandon, FL 33511
Phone (813) 681-9171

602 Vonderburg Dr
Ste 101
Brandon, FL 33511
Phone (813) 530-4944

2191 9th Ave N
Ste 120
St Petersburg, FL 33713
Phone (727) 826-0795

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

4602 N Armenia Ave
Ste 300
Tampa, FL 33603
Phone (813) 878-2211

5002 W Lemon St
Tampa, FL 33609

5016 W Cypress St
Ste 101
Tampa, FL 33607
Phone (813) 530-4944

Interoperability endpoints

  • Direct secure messaging: etummel6880@direct.tgh.org
  • Direct secure messaging: evan.tummel@wcfnf.eclinicaldirectplus.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 8

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 2

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": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1689846024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S KINGS AVE STE 1100",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116060",
            "telephone_number": "813-530-4944",
            "fax_number": "813-530-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMEL",
        "first_name": "EVAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME107238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014367100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.