Individual provider Active NPI

Joey S Ancheta, M.D.

  • Adult Medicine Physician
  • Tampa, FL
National Provider Identifier
1841235926
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME72598 Issued in FL
Practice address
6826 W Linebaugh Ave
Tampa, FL 33625-4951
Phone
(813) 388-2935
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X ME72598 FL Primary

Addresses

Primary practice location

6826 W Linebaugh Ave
Tampa, FL 33625-4951

Mailing address

6826 W Linebaugh Ave
Tampa, FL 33625-4951
Phone (813) 388-2935

Other identifiers 2

IdentifierTypeStateIssuer
258285600MedicaidFL
49745OtherFLBCBSF

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060502000616 FL Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 1153394291 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Emergency Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simon Groseclose DC LLCGroup PAC ID 3779850912, 2 clinicians

Practice addresses (Care Compare)

2020 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6410
Phone (813) 358-1994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME72598FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Groseclose DC LLC CurrentSince Jun 1, 2023 Accepting new patients
Well-Being Community Center, Corp. CurrentSince Dec 16, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Franklin, Favata & Hulls, MD'S, PA Emergency Medicine Past Accepting new patients
Radiology Doctors, PA Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Tampa Bay Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Carrollwood Emergency Physicians PA Emergency Medicine Past Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888

2706 W Saint Isabel St
Tampa, FL 33607
Phone (813) 769-9571

2020 Ashley Oaks Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 358-1994

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 9

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1841235926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254951",
            "telephone_number": "813-388-2935",
            "fax_number": "813-280-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6826 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254951",
            "telephone_number": "813-388-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCHETA",
        "first_name": "JOEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME72598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258285600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "49745",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.