NPIMap

Individual provider Active NPI

Krishna Tewari, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1871788745
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME107206 Issued in FL
Practice address
203 N Marion St FL 2
Tampa, FL 33602-4914
Phone
(813) 474-9804
Fax
(813) 540-6025
NPI assigned
Sep 13, 2007
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 ME107206 FL Primary

Addresses

Primary practice location

203 N Marion St FL 2
Tampa, FL 33602-4914

Mailing address

203 N Marion St FL 2
Tampa, FL 33602-4914
Phone (813) 474-9804

Other identifiers 2

IdentifierTypeStateIssuer
P00844094OtherFLRR MEDICARE
002250200MedicaidFL

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
I20100823001067 FL Practitioner - HospitalistPractitioner - Internal Medicine 8628192929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists GroupGroup PAC ID 0345584835, 66 clinicians

Practice addresses (Care Compare)

602 S Audubon Ave
Suite a
Tampa, FL 33609-4217
Phone (813) 474-9804

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists Group Internal Medicine CurrentSince Jul 20, 2018 Accepting new patients
Tampa General Hospital Current Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Tampa Bay Wound Care Associates MD PLLC CurrentSince Aug 8, 2024 Accepting new patients
Inpatient Specialists Group Internal Medicine CurrentSince Jun 12, 2018 Accepting new patients
QMC LLC Past Accepting new patients

Locations

435 42nd Ave S
St Petersburg, FL 33705
Phone (727) 822-1871

203 N Marion St
Tampa, FL 33602
Phone (813) 474-9804

203 N Marion St
Fl 2
Tampa, FL 33602
Phone (813) 428-6904

203 N Marion St
Ste 3
Tampa, FL 33602

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: ktewari188801@orlandohealth.medalliesdirect.net
  • Direct secure messaging: ktewari8994@direct.tgh.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aviata at the BayTampa, FL, CCN 105417 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2024
Jun 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 10

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1871788745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N MARION ST FL 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024914",
            "telephone_number": "813-474-9804",
            "fax_number": "813-540-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MARION ST FL 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024914",
            "telephone_number": "813-474-9804",
            "fax_number": "813-540-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWARI",
        "first_name": "KRISHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME107206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00844094",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002250200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.