Active NPI
Convenient Medical & Health Services Inc
- Primary Care Clinic/Center
- Tampa, FL
National Provider Identifier
1689865784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CONVENIENT MEDICAL & HEALTH SERVICES INC
- Practice address
- 507 S Macdill Ave
Tampa, FL 33609-3038 - Phone
- (813) 350-9398
- Fax
- (813) 414-9181
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suneethi Patwari, M.D.
- Title
- Owner
- Phone
- (813) 350-9398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
507 S Macdill Ave
Tampa, FL 33609-3038
Mailing address
507 S Macdill Ave
Tampa, FL 33609-3038
Phone (813) 350-9398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080913000150 | FL | Part B Supplier - Clinic/Group Practice | 3577639616 |
Receives reassigned benefits from 1 practitioner Practice locations: Tampa, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1009027 | Convenient Medical and Health Services | Certificate of waiver | Feb 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
507 S Macdill Ave
Tampa, FL 33609
Phone (813) 350-9398
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186272000000",
"number": "1689865784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S MACDILL AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093038",
"telephone_number": "813-350-9398",
"fax_number": "813-414-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S MACDILL AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093038",
"telephone_number": "813-350-9398",
"fax_number": "813-414-9181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONVENIENT MEDICAL & HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A",
"authorized_official_last_name": "PATWARI",
"authorized_official_first_name": "SUNEETHI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-350-9398",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.