Individual provider Active NPI

Joany Reyne Guerra

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1992239453
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME143802 Issued in FL
Practice address
2727 W Dr Martin Luther King Jr Blvd Ste 850
Tampa, FL 33607-6397
Phone
(813) 871-2717
Fax
(813) 876-3558
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 ME143802 FL Primary

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd Ste 850
Tampa, FL 33607-6397

Mailing address

2727 W Dr Martin Luther King Jr Blvd Ste 850
Tampa, FL 33607-6397
Phone (813) 871-2717

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
I20200729001561 FL Practitioner - Internal Medicine 4284059940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Management of Florida IncGroup PAC ID 3971678558, 158 clinicians

Practice addresses (Care Compare)

6919 N Dale Mabry Hwy 320
Wellmed at Carrollwood
Tampa, FL 33614-3972
Phone (813) 915-5555

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME143802FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince Aug 1, 2020 Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Wellmed Medical Management of Florida Inc CurrentSince Sep 1, 2024 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

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

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

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

2727 W Mlk Blvd
Ste 850
Tampa, FL 33607
Phone (813) 871-2717

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

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: joany.reyneguerra@wellmed.eclinicaldirectplus.com
  • Direct secure messaging: joany.reyneguerra@direct.myhealthep.org

Organizations & group practices 4

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 2

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1992239453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 850",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076397",
            "telephone_number": "813-871-2717",
            "fax_number": "813-876-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 850",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076397",
            "telephone_number": "813-871-2717",
            "fax_number": "813-876-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNE GUERRA",
        "first_name": "JOANY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME143802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.