Individual provider Active NPI

Alan David Feldman, M.D.

  • Psychiatry Physician
  • Largo, FL
National Provider Identifier
1922108968
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME73928 Issued in FL
Practice address
10333 Seminole Blvd
Suite #3
Largo, FL 33778-4210
Phone
(727) 392-0199
Fax
(727) 392-1399
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME73928 FL Primary

Addresses

Primary practice location

10333 Seminole Blvd
Suite #3
Largo, FL 33778-4210

Mailing address

10333 Seminole Blvd
Suite 3
Largo, FL 33778-4210
Phone (727) 392-0199

Other identifiers 3

IdentifierTypeStateIssuer
ME 73928OtherFLLICENSE
043710580OtherFLTAX IDENTIFICATION NUMBER
259478100MedicaidFL

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
I20091120000459 FL Practitioner - Psychiatry 0840339404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wright State University Boonshoft School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10333 Seminole Blvd
Suite 3
Largo, FL 33778-4204
Phone (727) 392-0199

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME73928FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ibis Healthcare Inc CurrentSince Nov 28, 2016 Accepting new patients
Alan D. Feldman, M.D.P.a. Psychiatry CurrentSince Sep 1, 2009 Accepting new patients
Ibis Healthcare Inc CurrentSince Nov 28, 2016 Accepting new patients

Locations

11300 US Highway 19 N
Clearwater, FL 33764
Phone (727) 541-2646

10333 Seminole Blvd
Ste 3
Largo, FL 33778
Phone (727) 392-0199

5707 N 22nd St
Tampa, FL 33610
Phone (813) 272-2244

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922108968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 SEMINOLE BLVD",
            "address_2": "SUITE 3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337784210",
            "telephone_number": "727-392-0199",
            "fax_number": "727-392-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 SEMINOLE BLVD",
            "address_2": "SUITE #3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337784210",
            "telephone_number": "727-392-0199",
            "fax_number": "727-392-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "ALAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME73928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME 73928",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "043710580",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259478100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.