Individual provider Active NPI

Arthur J Pedregal, M.D.

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1780686162
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME73301 Issued in FL
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

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000864 FL Practitioner - Neurology 4284664707 Reassigns benefits to 2 organizations
Practice locations: Tampa, FL

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
Wildcat Neurophysiology, PCGroup PAC ID 4789943804, 22 clinicians
Longhorn Neurophysiology PAGroup PAC ID 9032373154, 10 clinicians

Practice addresses (Care Compare)

4710 N Habana Ave
Suite 303
Tampa, FL 33614-7151
Phone (813) 879-7940

Hospital & facility affiliations

  • AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069
  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73301FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Longhorn Neurophysiology, P.a. Specialist CurrentSince Aug 1, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Wildcat Neurophysiology, PC Neurology CurrentSince Oct 1, 2025 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

  • Direct secure messaging: apedregal278887@direct.tgh.org
  • FHIR API: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.