NPIMap

Individual provider Active NPI

Frederick B Corpuz, MD

  • Internal Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1962497651
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0073516 Issued in FL
Practice address
1840 Capital Medical Court
Tallahassee, FL 32308-4468
Phone
(850) 878-0550
Fax
(850) 878-0587
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0073516 FL Primary

Addresses

Primary practice location

1840 Capital Medical Court
Tallahassee, FL 32308-4468

Mailing address

1840 Capital Medical Court
Tallahassee, FL 32308-4468
Phone (850) 878-0550

Other identifiers 1

IdentifierTypeStateIssuer
252877100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050620000072 FL Practitioner - Internal Medicine 7517901630 Reassigns benefits to 1 organization
I20081210000668 GA Practitioner - Emergency MedicinePractitioner - Internal Medicine 7517901630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardinal Healthcare PLLCGroup PAC ID 3779586102, 2 clinicians

Practice addresses (Care Compare)

1840 Capital Medical CT
Tallahassee, FL 32308-4468
Phone (850) 878-0550

Hospital & facility affiliations

  • Grady General Hospital Hospital, Cairo, GA, CCN 110121
  • Doctors Memorial Hospital Inc Hospital, Perry, FL, CCN 101314
  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0073516FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Mitchell County Current Accepting new patients
Cardinal Healthcare, PLLC Internal Medicine CurrentSince Jun 1, 2006 Accepting new patients
Grady General Hospital Current Accepting new patients
Southland Emergency Medical Services, L.L.C CurrentSince Jul 1, 2014 Accepting new patients
Perry Emergency Physicians LLC Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Premier Medical Clinic Internal Medicine PastSince Jan 21, 2026 Accepting new patients

Locations

1840 Capital Medical Ct
Tallahassee, FL 32308
Phone (850) 878-0550

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23008/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

Organizations & group practices 8

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1962497651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 CAPITAL MEDICAL COURT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084468",
            "telephone_number": "850-878-0550",
            "fax_number": "850-878-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 CAPITAL MEDICAL COURT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084468",
            "telephone_number": "850-878-0550",
            "fax_number": "850-878-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPUZ",
        "first_name": "FREDERICK",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252877100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.