Active NPI
Advanced Care Gastroenterology Associates
- Gastroenterology Physician
- Tampa, FL
National Provider Identifier
1831565688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME106694
- Legal business name
- ADVANCED CARE GASTROENTEROLOGY ASSOCIATES
- Practice address
- 15303 Amberly Dr Ste a
Tampa, FL 33647-2308 - Phone
- (813) 751-9727
- Fax
- (813) 441-7373
- NPI assigned
- Aug 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sobia Ali, MD
- Title
- Doctor
- Phone
- (847) 525-0020
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME106694 | FL | Primary |
Addresses
Primary practice location
15303 Amberly Dr Ste a
Tampa, FL 33647-2308
Mailing address
15303 Amberly Dr Ste a
Tampa, FL 33647-2308
Phone (813) 751-9727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417166422 | Other | FL | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2167623 | Advanced Care Gastroenterology Associates LLC | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Tampa, FL
- NPI 1417166422
-
- Allergy Physician
- Bradenton, FL
- NPI 1730788266
-
- Medical Physician Assistant
- St Petersburg, FL
- NPI 1578332060
-
- Student in an Organized Health Care Education/Training Program
- Davie, FL
- NPI 1619621927
-
- Family Nurse Practitioner
- Seffner, FL
- NPI 1386428845
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1831872639
-
- Anatomic Pathology & Clinical Pathology Physician
- Bradenton, FL
- NPI 1871628529
-
- Nurse Practitioner
- Hudson, FL
- NPI 1598495301
-
- Family Nurse Practitioner
- Tampa, FL
- NPI 1407409873
-
- Acute Care Nurse Practitioner
- N Las Vegas, NV
- NPI 1023511151
FL, Gastroenterology
-
- Physician Assistant
- Winter Park, FL
- NPI 1750097010
-
- Physician Assistant
- Tampa, FL
- NPI 1982313482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1831565688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15303 AMBERLY DR STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472308",
"telephone_number": "813-751-9727",
"fax_number": "813-441-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15303 AMBERLY DR STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472308",
"telephone_number": "813-751-9727",
"fax_number": "813-441-7373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CARE GASTROENTEROLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-17",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "SOBIA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "847-525-0020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME106694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1417166422",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.