Organization Active NPI

Aaia- Tampa Bay LLC

Doing business as Allergy, Asthma & Immunology Associates

  • Allergy & Immunology Physician
  • Tampa, FL
National Provider Identifier
1730198037
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
AAIA- TAMPA BAY LLC
Doing business as
Allergy, Asthma & Immunology Associates
Practice address
3645 Madaca LN
Tampa, FL 33618-2048
Phone
(813) 969-0116
Fax
(813) 969-3794
NPI assigned
Aug 5, 2006
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Mrs. Tina Dominguez
Title
Office Administrator
Phone
(813) 969-0116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X Primary

Addresses

Primary practice location

3645 Madaca LN
Tampa, FL 33618-2048

Mailing address

3645 Madaca LN
Tampa, FL 33618-2048
Phone (813) 969-0116

Other identifiers 1

IdentifierTypeStateIssuer
260084600MedicaidFL

Other names 1

  • Allergy, Asthma & Immunology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041025000536 FL Part B Supplier - Clinic/Group Practice 2264493014 Receives reassigned benefits from 6 practitioners
Practice locations: Brandon, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

539 Medical Oaks Ave
Brandon, FL 33511
Phone (813) 655-9736

105 S Macdill Ave
Tampa, FL 33609

105 S Macdill Ave
Ste 201
Tampa, FL 33609
Phone (813) 874-1305

3645 Madaca Ln
Tampa, FL 33618
Phone (813) 450-3403

4600 N Habana Ave
Ste 8
Tampa, FL 33614
Phone (813) 874-1305

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70677

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1730198037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182048",
            "telephone_number": "813-969-0116",
            "fax_number": "813-969-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182048",
            "telephone_number": "813-969-0116",
            "fax_number": "813-969-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAIA- TAMPA BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "813-969-0116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260084600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy, Asthma & Immunology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allergy, Asthma & Immunology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.