Demian Obregon, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME110697 Issued in FL

Practice address

10014 N Dale Mabry Hwy Ste 217
Tampa, FL 33618-4426

Phone

(813) 981-1671

Fax

(813) 851-5013

NPI assigned

Jun 26, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

University of South Florida College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Upshaw TMS LLCGroup PAC ID 3678819349, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Upshaw TMS LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1629560545
  Medicare reassignment Care Compare group NPD
• Ibis Healthcare Inc

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1346224011
  Medicare reassignment NPD
• Ibis Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
  • NPI 1922777218
  NPD
• Turnwell Mental Health of West Florida, PA

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1346047560
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1801058250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 N DALE MABRY HWY STE 217",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184426",
            "telephone_number": "813-981-1671",
            "fax_number": "813-851-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 N DALE MABRY HWY STE 217",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184426",
            "telephone_number": "813-981-1671",
            "fax_number": "813-851-5013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6511 Gunn Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254021",
            "country_code": "US",
            "telephone_number": "813-605-1122",
            "fax_number": "813-354-2430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBREGON",
        "first_name": "DEMIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME110697",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME110687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor E Obianadiume, RPH
• Sarah Gloria Obican, MD
• Mmeso Obimdike
• Jeremy Michael Obradovich
• Lisa Obradovich
• Observation Medical Group LLC
• Observation Medicine Services of Florida, LLC
• Dana Ann Obzut, M.D.
• Ocana Medical Center LLC
• Karol Ocana Perez

• Psychiatry Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.

Verify at the official NPI Registry.