Individual provider Active NPI

Wilfredo Chamizo, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • St Petersburg, FL
National Provider Identifier
1851340798
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME55082 Issued in FL
Practice address
801 6TH St S
Dept 7010
St Petersburg, FL 33701-4816
Phone
(727) 767-4341
Fax
(727) 767-8516
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Immunopathology Physician 207ZI0100X ME55082 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME55082 FL Primary

Addresses

Primary practice location

801 6TH St S
Dept 7010
St Petersburg, FL 33701-4816

Mailing address

801 6TH St S
Dept 7010
St Petersburg, FL 33701-4816
Phone (727) 767-4341

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
I20220708003700 FL Practitioner - Pathology 3173903051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Physician Services, Inc. 200 clinicians

Practice addresses (Care Compare)

601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 727-4429

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physician Services, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Apr 7, 2022 Accepting new patients

Locations

885 S Parsons Ave
Brandon, FL 33511
Phone (813) 436-5900

4550 Colonial Blvd
Fort Myers, FL 33966
Phone (239) 931-5700

3310 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 802-6600

4443 Rowan Rd
New Port Richey, FL 34653
Phone (727) 846-9900

5881 Rand Blvd
Sarasota, FL 34238
Phone (727) 822-7344

601 5th St S
Ste 502
St Petersburg, FL 33701
Phone (727) 767-3636

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

801 6th St S
St Petersburg, FL 33701
Phone (727) 767-4141

801 6th St S
#7010
St Petersburg, FL 33701
Phone (727) 767-4341

880 6th Ave S
St Petersburg, FL 33701

601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429

601 5th St S
Fl Box
St Petersburg, FL 33701
Phone (727) 767-4429

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700

12220 Bruce B Downs Blvd
Tampa, FL 33612
Phone (727) 892-4200

Interoperability endpoints

  • Direct secure messaging: wchamizo734065@direct.hopkinsmedicine.org

Organizations & group practices 1

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851340798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 6TH ST S",
            "address_2": "DEPT 7010",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014816",
            "telephone_number": "727-767-4341",
            "fax_number": "727-767-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 6TH ST S",
            "address_2": "DEPT 7010",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014816",
            "telephone_number": "727-767-4341",
            "fax_number": "727-767-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMIZO",
        "first_name": "WILFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZI0100X",
            "taxonomy_group": "",
            "desc": "Pathology, Immunopathology",
            "state": "FL",
            "license": "ME55082",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME55082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.