NPIMap

Individual provider Active NPI

David Allen Long, MD

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1871603613
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME44760 Issued in FL
Practice address
7035 Central Ave Ste B
St Petersburg, FL 33710-7508
Phone
(727) 381-7727
Fax
(727) 381-8229
NPI assigned
Aug 30, 2006
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME44760 FL Primary

Addresses

Primary practice location

7035 Central Ave Ste B
St Petersburg, FL 33710-7508

Mailing address

1615 Pasadena Ave So
250
South Pasadena, FL 33707
Phone (727) 381-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004001202 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 8921123498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Southern Illinois University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6560 9TH Ave N
Saint Petersburg, FL 33710-6210
Phone (727) 384-4060

7035 Central Ave
Suite B
St Petersburg, FL 33710-7508

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David a Long MD, PA Internal Medicine CurrentSince Jun 21, 2010 Accepting new patients
Sunset Medical Care, LLC PastSince Aug 1, 2004 Accepting new patients

Locations

1615 Pasadena Ave S
Ste 250
South Pasadena, FL 33707
Phone (727) 381-7727

6560 9th Ave N
St Petersburg, FL 33710
Phone (727) 384-4060

7035 Central Ave
Ste B
St Petersburg, FL 33710
Phone (727) 347-8039

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1871603613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE SO",
            "address_2": "250",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-381-7727",
            "fax_number": "727-381-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 CENTRAL AVE STE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107508",
            "telephone_number": "727-381-7727",
            "fax_number": "727-381-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME44760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.