NPIMap

Organization Active NPI

Tampa General Medical Group Inc

Doing business as Tampa General Hospital Cancer Care New Tampa

  • Medical Oncology Physician
  • Tampa, FL
National Provider Identifier
1821626383
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
TAMPA GENERAL MEDICAL GROUP INC
Doing business as
Tampa General Hospital Cancer Care New Tampa
Practice address
17416 Brookside Trace CT
Tampa, FL 33647-3589
Phone
(813) 672-0700
Fax
(813) 660-6632
NPI assigned
Mar 31, 2020
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TAMPA GENERAL MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Peter Travis Riad Chang
Title
VP Care Transitions
Phone
(813) 844-3956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X Primary

Addresses

Primary practice location

17416 Brookside Trace CT
Tampa, FL 33647-3589

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-3956

Other names 1

  • Tampa General Hospital Cancer Care New Tampa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160310002525 FL Part B Supplier - Clinic/Group Practice 7416253828 Receives reassigned benefits from 473 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tampa, FL; Sun City Center, FL; Trinity, FL; Valrico, FL; Wesley Chapel, FL; Wimauma, FL; St Petersburg, FL; Apollo Beach, FL…

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2196943Tampa General Medical Group Inc17416 Brookside Trace CT, Tampa, FL 33647Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Tampa General Medical Group48 organizations share this tax ID, including this one
Part of
Tampa General Medical Group

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

1202 S Church Ave
Ste A
Tampa, FL 33629
Phone (813) 258-9565

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1821626383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17416 BROOKSIDE TRACE CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473589",
            "telephone_number": "813-672-0700",
            "fax_number": "813-660-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA GENERAL MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAMPA GENERAL MEDICAL GROUP INC",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "TRAVIS RIAD",
        "authorized_official_title_or_position": "VP CARE TRANSITIONS",
        "authorized_official_telephone_number": "813-844-3956"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa General Hospital Cancer Care New Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.