Individual provider Active NPI

Mark Lewis Patterson, MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1942317276
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100168 Issued in FL
Practice address
2727 W Dr Martin Luther King Jr Blvd Ste 100
Tampa, FL 33607-6353
Phone
(813) 397-5300
Fax
(813) 726-0358
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43889 WI
Family Medicine Physician 207Q00000X 036100830 IL
Family Medicine Physician 207Q00000X ME100168 FL Primary

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd Ste 100
Tampa, FL 33607-6353

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 284-4517

Other identifiers 2

IdentifierTypeStateIssuer
P00447206OtherFLRR MEDICARE
01151OtherFLBCBS

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
I20080110000296 FL Practitioner - Family Practice 9931169588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians

Practice addresses (Care Compare)

1212 E Bearss Ave
Lutz, FL 33549-3525
Phone (813) 397-5300

12410 N Nebraska Ave
Tampa, FL 33612-5352
Phone (813) 397-5300

302 W Fletcher Ave
Tampa, FL 33612-3415
Phone (813) 397-5300

4620 N 22ND St
Tampa, FL 33610-6205
Phone (813) 397-5300

6216 E Sligh Ave
Tampa, FL 33617-9105
Phone (813) 397-5300

7608 Causeway Blvd
Tampa, FL 33619-5912
Phone (813) 397-5300

7814 N Dale Mabry Hwy
Tampa, FL 33614-3220
Phone (813) 397-5300

8108 N Nebraska Ave
Tampa, FL 33604-3107
Phone (813) 397-5300

8213 W Waters Ave
Tampa, FL 33615-1822
Phone (813) 397-5300

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
ME100168FLMDFamily Medicine Physician
036100830ILMDFamily Medicine Physician
43889WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers, Inc CurrentSince Oct 13, 2018 Accepting new patients
Tampa Family Health Centers Inc CurrentSince Oct 13, 2018 Accepting new patients

Locations

1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 398-5300

19203 N Dale Mabry Hwy
Lutz, FL 33548

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

302 W Fletcher Ave
Tampa, FL 33612

5611 Sheldon Rd
Tampa, FL 33615
Phone (813) 397-5320

4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

3901 S West Shore Blvd
Tampa, FL 33611
Phone (813) 712-1940

8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930

8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

2808 W Mlk Blvd
Tampa, FL 33607
Phone (813) 872-9200

12410 N Nebraska Ave
Tampa, FL 33612

2727 W Mlk Blvd
Ste 630
Tampa, FL 33607
Phone (813) 876-6000

7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710

6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1942317276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-284-4517",
            "fax_number": "813-405-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076353",
            "telephone_number": "813-397-5300",
            "fax_number": "813-726-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MARK",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "43889",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036100830",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00447206",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01151",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.