Timothy Joseph Manda, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME124662 Issued in FL

Practice address

14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141

Phone

(813) 929-5451

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

Specialty

Diagnostic Radiology

Education

Medical College of Wisconsin, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
• Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
• Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
• Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
• Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: tmanda1239237@adventhealth.direct-ci.com

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.

• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment Care Compare group NPD
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1104205046
  Medicare reassignment NPD
• Ohi West Medical Group, LLC

  dba Bayfront Health St. Petersburg Imaging Center

  • Radiology Clinic/Center
  • St Petersburg, FL
  • NPI 1285240192

  Diagnostic Radiology

  NPD
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1427437367
  NPD
• Central Florida Imaging Associates

  • Diagnostic Radiology Physician
  • Davenport, FL
  • NPI 1912246455
  NPD (past)
• Largo Radiology Consultants

  • Radiology Clinic/Center
  • Largo, FL
  • NPI 1407131055
  NPD (past)
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  NPD (past)
• South Bay Hospital Outpatient Diagnostic/Imaging Center

  • Diagnostic Radiology Physician
  • Sun City Center, FL
  • NPI 1558528513
  NPD (past)
• Advanced Diagnostic Imaging LTD

  • Diagnostic Radiology Physician
  • Belleville, IL
  • NPI 1235174764
  NPD (past)
• Radiological Imaging of Oklahoma, L.L.C.

  • Medical Specialty Clinic/Center
  • Owasso, OK
  • NPI 1588649305
  NPD (past)
• Radiology Consultants of Tulsa Inc

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1487641890
  NPD (past)
• Tulsa CT LLC

  dba CT of Tulsa

  • Radiology Clinic/Center
  • Tulsa, OK
  • NPI 1598710436
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Port Charlotte Inc

  dba Adventhealth Port Charlotte

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1760299093
  Care Compare affiliation
• Adventist Health System-Sunbelt Inc

  dba AdventHealth Cancer Institute Sebring

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Care Compare affiliation
• Florida Hospital Zephyrhills Inc

  dba AdventHealth Zephyrhills

  • General Acute Care Hospital
  • Zephyrhills, FL
  • NPI 1346354677
  Care Compare affiliation
• Pasco-Pinellas Hillsborough Community Health System Inc

  dba AdventHealth Wesley Chapel

  • General Acute Care Hospital
  • Wesley Chapel, FL
  • NPI 1073893020
  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Tampa

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1053321919
  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Tampa Outreach Laboratory

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1134766694

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1871576157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14055 RIVEREDGE DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372141",
            "telephone_number": "813-929-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 RIVEREDGE DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372141",
            "telephone_number": "813-929-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 South Ashley Drive",
            "address_2": "Suite 1500",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336025318",
            "country_code": "US",
            "telephone_number": "813-899-6220",
            "fax_number": "813-985-8006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDA",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "24407",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036119561",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME124662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200056620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manatee Medical Management (Wound Care Services)
• Lianet Mancebo Diaz
• A. R. Setty Manchepalli, MD
• Anya Mancinelli, PA-C
• Richard Mancuso, D.M.D.
• Mansi Mandaliya
• Naishadh K Mandaliya, M.D.
• Marian Porter Mandell, OTR.L
• Ashley Manderville, APRN
• Maria A Mandry

• Diagnostic Radiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.
• 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.