Individual provider Active NPI

Richard Lawrence Siegel, M.D.

  • Allergy & Immunology Physician
  • Tampa, FL
National Provider Identifier
1770518938
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME37984 Issued in FL
Practice address
17407 Bridge Hill CT Ste B
Tampa, FL 33647-3522
Phone
(813) 972-3131
Fax
(813) 972-0773
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME37984 FL Primary

Addresses

Primary practice location

17407 Bridge Hill CT Ste B
Tampa, FL 33647-3522

Mailing address

17407 Bridge Hill CT Ste B
Tampa, FL 33647-3522
Phone (813) 972-3131

Other identifiers 1

IdentifierTypeStateIssuer
065518000MedicaidFL

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
I20120224000437 FL Practitioner - Allergy/Immunology 4789842550

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME37984FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Lawrence Siegel, M.D., P.a. Allergy & Immunology CurrentSince Feb 9, 1981 Accepting new patients

Locations

17407 Bridge Hill Ct
Ste B
Tampa, FL 33647
Phone (813) 972-3131

3450 E Fletcher Ave
Ste 210
Tampa, FL 33613
Phone (813) 972-3131

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1770518938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17407 BRIDGE HILL CT STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473522",
            "telephone_number": "813-972-3131",
            "fax_number": "813-972-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17407 BRIDGE HILL CT STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473522",
            "telephone_number": "813-972-3131",
            "fax_number": "813-972-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "RICHARD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME37984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065518000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.