Individual provider Active NPI

Israel Crespo, M D

  • Gastroenterology Physician
  • Tampa, FL
National Provider Identifier
1942302880
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0067924 Issued in FL
Practice address
6919 N Dale Mabry Hwy Ste 250
Tampa, FL 33614-3860
Phone
(813) 930-8816
Fax
(813) 932-1856
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME67924 FL
Gastroenterology Physician 207RG0100X ME0067924 FL Primary

Addresses

Primary practice location

6919 N Dale Mabry Hwy Ste 250
Tampa, FL 33614-3860

Mailing address

6919 N Dale Mabry Hwy Ste 250
Tampa, FL 33614-3860
Phone (813) 930-8816

Other identifiers 1

IdentifierTypeStateIssuer
377776600MedicaidFL

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
I20090817000059 FL Practitioner - Gastroenterology 2365499522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6919 N Dale Mabry Hwy
Suite 250
Tampa, FL 33614-3860
Phone (813) 930-8816

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy519
Upper gastrointestinal (GI) endoscopy for acid reflux380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME67924FLMDInternal Medicine Physician
ME0067924FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis J Lopez MD PA Gastroenterology Current Accepting new patients
Israel Crespo MD PA CurrentSince Apr 27, 2009 Accepting new patients

Locations

6919 N Dale Mabry Hwy
Ste 250
Tampa, FL 33614
Phone (813) 930-8816

6919 N Dale Mabry Hwy
Ste 320
Tampa, FL 33614
Phone (813) 915-5555

3633 Little Rd
Ste 104
Trinity, FL 34655
Phone (727) 372-1130

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1942302880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143860",
            "telephone_number": "813-930-8816",
            "fax_number": "813-932-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143860",
            "telephone_number": "813-930-8816",
            "fax_number": "813-932-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "ISRAEL",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67924",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0067924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377776600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.