Individual provider Active NPI

Eduardo P. Beltroy, M.D.

  • Pediatric Gastroenterology Physician
  • Tampa, FL
National Provider Identifier
1700868981
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME120291 Issued in FL
Practice address
3003 W. Martin Luther King Blvd
3Rd FL. Medical Arts Building
Tampa, FL 33607-6307
Phone
(813) 870-4948
Fax
(813) 554-8044
NPI assigned
Nov 15, 2005
Last updated
Jul 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 35973 IA
Pediatric Gastroenterology Physician 2080P0206X ME120291 FL Primary

Addresses

Primary practice location

3003 W. Martin Luther King Blvd
3Rd FL. Medical Arts Building
Tampa, FL 33607-6307

Mailing address

2901 58TH Ave N
Pediatric Gastroenterology, Hepatology & Nutrition of F
St Petersburg, FL 33714-1326
Phone (727) 822-4300

Other identifiers 2

IdentifierTypeStateIssuer
1700868981MedicaidIA
175150094OtherMEDICARE

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
I20140903001718 FL Practitioner - Pediatric MedicinePractitioner - Gastroenterology 5496776635 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120291FLMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physician Services, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Pediatric Gastroenterology Hepatology & Nutrition of FL P a Pediatric Gastroenterology CurrentSince Aug 4, 2014 Accepting new patients
Pediatric Pulmonary Associates P.a. Past Accepting new patients

Locations

9400 Gladiolus Dr
Ste 100
Fort Myers, FL 33908
Phone (239) 223-0484

5640 Main St
New Pt Richey, FL 34652
Phone (727) 822-4300

2901 58th Ave N
St Petersburg, FL 33714

2901 58th Ave N
#F
St Petersburg, FL 33714

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429

601 5th St S
Ste 605
St Petersburg, FL 33701
Phone (727) 822-4300

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

3003 W Mlk Blvd
Fl 3
Tampa, FL 33607
Phone (813) 554-8701

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1700868981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 58TH AVE N",
            "address_2": "PEDIATRIC GASTROENTEROLOGY, HEPATOLOGY & NUTRITION OF F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337141326",
            "telephone_number": "727-822-4300",
            "fax_number": "727-456-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W. MARTIN LUTHER KING BLVD",
            "address_2": "3RD FL. MEDICAL ARTS BUILDING",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-870-4948",
            "fax_number": "813-554-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTROY",
        "first_name": "EDUARDO",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "IA",
            "license": "35973",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME120291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700868981",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "175150094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.