Active NPI
Tommy CG McElroy, M.D.
- Family Medicine Physician
- Wesley Chapel, FL
National Provider Identifier
1982897732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME102910
- Practice address
- 2405 Creel LN
Suite 102
Wesley Chapel, FL 33544-4607 - Phone
- (813) 907-6300
- Fax
- (813) 907-5600
- NPI assigned
- Aug 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME102910 | FL | Primary |
Addresses
Primary practice location
2405 Creel LN
Suite 102
Wesley Chapel, FL 33544-4607
Mailing address
1525 Vandervort Rd
Lutz, FL 33549-5750
Phone (813) 892-5665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002224900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1982897732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 VANDERVORT RD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335495750",
"telephone_number": "813-892-5665",
"fax_number": "813-907-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 CREEL LN",
"address_2": "SUITE 102",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335444607",
"telephone_number": "813-907-6300",
"fax_number": "813-907-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELROY",
"first_name": "TOMMY",
"middle_name": "CG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-24",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME102910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002224900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.