Gustavo Barrazueta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0064869 Issued in FL

Practice address

4102 N Macdill Ave Ste a
Tampa, FL 33607-6717

Phone

(813) 876-4900

Fax

(813) 876-4997

NPI assigned

May 9, 2006

Last updated

May 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbarrazueta8067@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tbim Hospitalists LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1023129087
  Medicare reassignment NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• South Tampa Medical Associates Inc

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1114258043
  NPD (past)
• South Tampa Medical Group PA

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1588718860
  NPD (past)
• Tampa Bay Inpatient Medicine PA

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1992987200
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1831148444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W SAINT ISABEL ST STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076375",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 N MACDILL AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076717",
            "telephone_number": "813-876-4900",
            "fax_number": "813-876-4997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 N Habana Ave",
            "address_2": "Suite 27",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147112",
            "country_code": "US",
            "telephone_number": "813-876-4900",
            "fax_number": "813-876-4997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRAZUETA",
        "first_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0064869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374366700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Tristan Baron
• James E Baron, MD
• Matthew Baron
• Tristan Leigh Baron, ARNP
• Hannah J Barr
• Judith L. Barreiro, M.D.
• Gabriela Barrera Pinon, DMD
• Adiaris Barrera San Roman
• Lisa Barrera
• Tatiana Barrera

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.