Individual provider Active NPI

Seifu M Demissie, MD

  • Pediatric Pulmonology Physician
  • Tampa, FL
National Provider Identifier
1821256629
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
ME109533 Issued in FL
Practice address
16606 N Dale Mabry Hwy
Tampa, FL 33618-1400
Phone
(407) 898-2767
Fax
(407) 898-9443
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X ME109533 FL Primary
Pediatrics Physician 208000000X ME109533 FL

Addresses

Primary practice location

16606 N Dale Mabry Hwy
Tampa, FL 33618-1400

Mailing address

2660 W Fairbanks Ave
Winter Park, FL 32789-3385
Phone (407) 898-2767

Other practice location 1

500 N Federal Hwy
Lake Park, FL 33403-3598
Phone (407) 898-2767

Other practice location 2

2104 Lakeland Hills Blvd
Lakeland, FL 33805-2906
Phone (407) 898-2767

Other identifiers 1

IdentifierTypeStateIssuer
111253600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME109533FLMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Pediatric Pulmonary and Sleep Associates PA Pediatric Pulmonology Past Accepting new patients

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1821256629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893385",
            "telephone_number": "407-898-2767",
            "fax_number": "407-898-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16606 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181400",
            "telephone_number": "407-898-2767",
            "fax_number": "407-898-9443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Lake Park",
            "state": "FL",
            "postal_code": "334033598",
            "country_code": "US",
            "telephone_number": "407-898-2767",
            "fax_number": "407-898-9443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2104 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052906",
            "country_code": "US",
            "telephone_number": "407-898-2767",
            "fax_number": "407-898-9443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMISSIE",
        "first_name": "SEIFU",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME109533",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME109533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111253600",
            "state": "FL"
        }
    ],
    "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 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.