NPIMap

Individual provider Active NPI

Amilcar M Lominchar, M.D

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1881085827
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN869 Issued in FL
Practice address
3832 W Humphrey St
Tampa, FL 33614-1955
Phone
(813) 440-4420
Fax
(813) 502-0290
NPI assigned
Feb 12, 2015
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13724-I PR
General Practice Physician 208D00000X ACN869 FL Primary

Addresses

Primary practice location

3832 W Humphrey St
Tampa, FL 33614-1955

Mailing address

3832 W Humphrey St
Tampa, FL 33614-1955
Phone (813) 440-4420

Other identifiers 2

IdentifierTypeStateIssuer
ACN869OtherFLMEDICAL LICENSE
019785900MedicaidFL

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
I20170221000147 FL Practitioner - General Practice 2365744307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3832 W Humphrey St
Tampa, FL 33614-1955
Phone (813) 440-4420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN869FLMDGeneral Practice Physician
13724-IPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Center Corp General Practice CurrentSince Feb 18, 2020 Accepting new patients
Miracle Community Behavioral Center Corp General Practice Past Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients

Locations

3832 W Humphrey St
Tampa, FL 33614
Phone (813) 298-9740

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16652/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1881085827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 W HUMPHREY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141955",
            "telephone_number": "813-440-4420",
            "fax_number": "813-502-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 W HUMPHREY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141955",
            "telephone_number": "813-440-4420",
            "fax_number": "813-502-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMINCHAR",
        "first_name": "AMILCAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13724-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ACN869",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019785900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.