Individual provider Active NPI

Leah Teekell Taylor, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • St Petersburg, FL
National Provider Identifier
1912971292
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME94635 Issued in FL
Practice address
10033 Dr Martin Luther King Jr St N
Suite 300
St Petersburg, FL 33716-3830
Phone
(727) 498-8898
Fax
(727) 800-6959
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME94635 FL Primary

Addresses

Primary practice location

10033 Dr Martin Luther King Jr St N
Suite 300
St Petersburg, FL 33716-3830

Mailing address

301 W Platt St
Suite 24
Tampa, FL 33606-2292
Phone (727) 498-8898

Other identifiers 10

IdentifierTypeStateIssuer
U6871YOtherFLMEDICARE
2521753OtherFLUNITED
273178198OtherHUMANA
301311OtherFLAVMED
30977OtherFLBCBS
358811OtherFLWELLCARE
0625432OtherFLCIGNA
4277780OtherFLAETNA
274300100MedicaidFL
358811OtherFLSTAYWELL

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
I20110214000460 FL Practitioner - Thoracic Surgery 4688605116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Virginia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiothoracic Surgery of Hyde Park IncGroup PAC ID 1557541513, 2 clinicians

Practice addresses (Care Compare)

8950 9TH St N
Suite 102
St Petersburg, FL 33702-3001
Phone (727) 498-8898

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

State licenses

LicenseStateTypeSpecialty
ME94635FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic Surgery of Hyde Park Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 7, 2010 Accepting new patients
Chiropractic Care of Hyde Park Inc CurrentSince Jun 1, 2014 Accepting new patients
Docs Outside the Box PastSince Oct 7, 2010 Accepting new patients

Locations

8950 Martin Luther King St N
Ste 102
St Petersburg, FL 33702
Phone (727) 498-8898

10033 Dr Martin Luther King Jr St N
Ste 300
St Petersburg, FL 33716
Phone (727) 498-8898

17 Davis Blvd
Ste 304
Tampa, FL 33606
Phone (813) 254-4329

301 W Platt St
Ste 24
Tampa, FL 33606

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 4

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1912971292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PLATT ST",
            "address_2": "SUITE 24",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062292",
            "telephone_number": "727-498-8898",
            "fax_number": "727-800-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10033 DR MARTIN LUTHER KING JR ST N",
            "address_2": "SUITE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163830",
            "telephone_number": "727-498-8898",
            "fax_number": "727-800-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEKELL TAYLOR",
        "first_name": "LEAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME94635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "U6871Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2521753",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "273178198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "301311",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30977",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "358811",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0625432",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4277780",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274300100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "358811",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.