NPIMap

Organization Active NPI

Tampa Bay Inpatient Medicine PA

  • General Acute Care Hospital
  • Tampa, FL
National Provider Identifier
1992987200
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
ME0081064 Issued in FL
Legal business name
TAMPA BAY INPATIENT MEDICINE PA
Practice address
4102 N Macdill Ave Ste a
Tampa, FL 33607-6717
Phone
(813) 876-4900
Fax
(813) 876-4997
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Dr. Rafael S Rodriguez, MDNPI 1720059868
Title
President
Phone
(813) 681-0340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X ME0081064 FL Primary

Addresses

Primary practice location

4102 N Macdill Ave Ste a
Tampa, FL 33607-6717

Mailing address

PO Box 271489
Tampa, FL 33688-1489
Phone (813) 681-0340

Other practice location 1

4600 North Habana Aveunue
Suite 27
Tampa, FL 33614
Phone (813) 876-4900

Other identifiers 1

IdentifierTypeStateIssuer
270329700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041007000449 FL Part B Supplier - Clinic/Group Practice 1254390073 Receives reassigned benefits from 2 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

2810 W Saint Isabel St
Ste 201
Tampa, FL 33607
Phone (813) 681-0141

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1992987200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271489",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336881489",
            "telephone_number": "813-681-0340",
            "fax_number": "813-961-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 N MACDILL AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076717",
            "telephone_number": "813-876-4900",
            "fax_number": "813-876-4997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 North Habana Aveunue",
            "address_2": "Suite 27",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33614",
            "country_code": "US",
            "telephone_number": "813-876-4900",
            "fax_number": "813-876-4997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMPA BAY INPATIENT MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-681-0340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "ME0081064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270329700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.