Organization Active NPI

Florida Premier Care PA

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
National Provider Identifier
1821294752
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME97582 Issued in FL
Legal business name
FLORIDA PREMIER CARE PA
Practice address
10006 Cross Creek Blvd
#431
Tampa, FL 33647-2595
Phone
(727) 376-6578
Fax
(813) 333-1214
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Dr. Alekh Hira, MDNPI 1669510624
Title
President
Phone
(727) 376-6578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X ME97582 FL Primary

Addresses

Primary practice location

10006 Cross Creek Blvd
#431
Tampa, FL 33647-2595

Mailing address

PO Box 340957
Tampa, FL 33694-0957
Phone (727) 376-6578

Other identifiers 9

IdentifierTypeStateIssuer
310820OtherFLAVMED
7865131OtherFLCIGNA
2804891OtherFLUNITED HEALTH CARE
90642OtherFLBCBSFL
9215095OtherFLAETNA
328027OtherFLAMERIGROUP
100725800MedicaidFL
15352001OtherFLCITRUS HEALTH CARE
ME97582OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071015000501 FL Part B Supplier - Clinic/Group Practice 2062508591 Receives reassigned benefits from 2 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

18952 N Dale Mabry Hwy
Ste 101
Lutz, FL 33548
Phone (813) 343-8177

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1821294752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340957",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336940957",
            "telephone_number": "727-376-6578",
            "fax_number": "813-333-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10006 CROSS CREEK BLVD",
            "address_2": "#431",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472595",
            "telephone_number": "727-376-6578",
            "fax_number": "813-333-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PREMIER CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "HIRA",
        "authorized_official_first_name": "ALEKH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-376-6578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME97582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "310820",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7865131",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2804891",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "90642",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9215095",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "328027",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100725800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HEALTH CARE",
            "identifier": "15352001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME97582",
            "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 Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.