Active NPI
Arthur J Pedregal, M.D.
- Neurology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME73301
- Practice address
- 4710 N Habana Ave
Suite 303
Tampa, FL 33614-7161 - Phone
- (813) 879-7940
- Fax
- (813) 878-0670
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME73301 | FL | |
| Neurology Physician | 2084N0400X | ME73301 | FL | Primary |
Addresses
Primary practice location
4710 N Habana Ave
Suite 303
Tampa, FL 33614-7161
Mailing address
4710 N Habana Ave
Suite 303
Tampa, FL 33614-7161
Phone (813) 879-7940
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Miami, LM Miller School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4710 N Habana Ave
Suite 303
Tampa, FL 33614-7151
Phone (813) 879-7940
Hospital & facility affiliations
- AdventHealth Carrollwood
- Marion Communtiy Hospital
- St Anthonys Hospital
- Tampa General Hospital
- Adventhealth Zephyrhills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME73301 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longhorn Neurophysiology, P.a. | Specialist | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Wildcat Neurophysiology, PC | Neurology | Current | Accepting new patients |
Locations
400 N Ashley Dr
Ste 1900
Tampa, FL 33602
Phone (813) 775-2200
4710 N Habana Ave
Ste 303
Tampa, FL 33614
Phone (813) 876-0454
1141 N Loop 1604 E
Ste 105484
San Antonio, TX 78232
Interoperability endpoints
- apedregal278887@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
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 and National Provider Directory roles.
-
- Clinical Neurophysiology Physician
- Plano, TX
- NPI 1811256928
FL, Specialist
-
- Clinical Neurophysiology Physician
- Conshohocken, PA
- NPI 1073026993
FL, Neurology
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1427068345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1780686162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 N HABANA AVE",
"address_2": "SUITE 303",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147161",
"telephone_number": "813-879-7940",
"fax_number": "813-878-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 N HABANA AVE",
"address_2": "SUITE 303",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147161",
"telephone_number": "813-879-7940",
"fax_number": "813-878-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDREGAL",
"first_name": "ARTHUR",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME73301",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME73301",
"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 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.