Organization Active NPI

Alex Zelenka MD PA

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1932378882
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME88286 Issued in FL
Legal business name
ALEX ZELENKA MD PA
Practice address
11321 Countryway Blvd
Tampa, FL 33626-2610
Phone
(813) 814-4204
Fax
(813) 814-4219
NPI assigned
Feb 25, 2008
Last updated
Oct 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Dr. Alex Zelenka, MD PANPI 1023297199
Title
President
Phone
(727) 641-6840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME88286 FL Primary

Addresses

Primary practice location

11321 Countryway Blvd
Tampa, FL 33626-2610

Mailing address

11321 Countryway Blvd
Tampa, FL 33626-2610
Phone (813) 814-4204

Other names 1

  • Premier Internal Medicine Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000657 FL Part B Supplier - Clinic/Group Practice 3375607468 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

11321 Countryway Blvd
Tampa, FL 33626
Phone (813) 814-4204

12780 Race Track Rd
Ste 325
Tampa, FL 33626
Phone (727) 657-0461

13015 W Linebaugh Ave
Ste 101
Tampa, FL 33626
Phone (813) 814-4204

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1932378882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262610",
            "telephone_number": "813-814-4204",
            "fax_number": "813-814-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262610",
            "telephone_number": "813-814-4204",
            "fax_number": "813-814-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX ZELENKA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "ZELENKA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-641-6840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.