Individual provider Active NPI

Rekha K. Bhoomi, MD

  • Family Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1801800883
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME96383 Issued in FL
Practice address
4807, US H Way 19
Suite 201
New Port Richey, FL 34652
Phone
(727) 847-9505
Fax
(727) 847-9509
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME96383 FL Primary

Addresses

Primary practice location

4807, US H Way 19
Suite 201
New Port Richey, FL 34652

Mailing address

4807 US Highway 19
Ste 201
New Port Richey, FL 34652-4260

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
I20080221000297 FL Practitioner - Family PracticePractitioner - Hospitalist 8729162383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun State Hospitalists LLCGroup PAC ID 7012169493, 20 clinicians
Gulf Coast Primary Care PLCGroup PAC ID 9739192188, 2 clinicians

Practice addresses (Care Compare)

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7000

4807 US Hwy 19
Suite 201
New Port Richey, FL 34652-4260
Phone (727) 847-9505

601 Main St
Dunedin, FL 34698-5848
Phone (727) 462-7000

Hospital & facility affiliations

  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063
  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019

National Provider Directory

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

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Sun State Hospitalists LLC CurrentSince Nov 12, 2019 Accepting new patients
Gulf Coast Primary Care PLC CurrentSince Aug 7, 2006 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

4807 US Highway 19
Ste 201
New Prt Rchy, FL 34652
Phone (727) 847-9505

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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 6

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1801800883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19",
            "address_2": "STE 201",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807, US H WAY 19",
            "address_2": "SUITE 201",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-847-9505",
            "fax_number": "727-847-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOOMI",
        "first_name": "REKHA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.