Organization Active NPI

Convenient Medical & Health Services Inc

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1689865784
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Aug 5, 2007

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1009027Convenient Medical and Health Services507 S Macdill Ave, Tampa, FL 33609Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.