Individual provider Active NPI

Tun Tun Oo, MD

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1982027595
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME133472 Issued in FL
Practice address
8950 Dr Martin Luther King Jr St N Ste 180
St Petersburg, FL 33702-3001
Phone
(727) 576-8900
Fax
(727) 570-9045
NPI assigned
Feb 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 ME133472 FL Primary

Addresses

Primary practice location

8950 Dr Martin Luther King Jr St N Ste 180
St Petersburg, FL 33702-3001

Mailing address

8950 Dr Martin Luther King Jr St N Ste 180
St Petersburg, FL 33702-3001
Phone (727) 576-8900

Other practice location 1

855 S Highland Ave
Clearwater, FL 33756-4446
Phone (727) 219-1833

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
I20171010003548 FL Practitioner - Family Practice 5991070336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

8950 Dr Martin Luther King St N
1 Optum Northeast
Saint Petersburg, FL 33702-3001
Phone (727) 576-8900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133472FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Sep 18, 2017 Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince Apr 15, 2019 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Sep 18, 2017 Accepting new patients
Optumcare Florida, LLC CurrentSince Apr 15, 2019 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

855 S Highland Ave
Clearwater, FL 33756
Phone (727) 219-1833

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

8950 Martin Luther King St N
Ste 180
St Petersburg, FL 33702
Phone (727) 576-8900

8950 Mlk Jr St N
St Petersburg, FL 33702
Phone (727) 520-0800

901 22nd Ave S
St Petersburg, FL 33705
Phone (727) 310-0925

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: tuntun.oo@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1982027595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 DR MARTIN LUTHER KING JR ST N STE 180",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023001",
            "telephone_number": "727-576-8900",
            "fax_number": "727-570-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 DR MARTIN LUTHER KING JR ST N STE 180",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023001",
            "telephone_number": "727-576-8900",
            "fax_number": "727-570-9045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 S Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337564446",
            "country_code": "US",
            "telephone_number": "727-219-1833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OO",
        "first_name": "TUN TUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-03",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME133472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.