1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. General Practice
  6. NPI Profile

OPTUM
NPI 1053384214
General Practice in Tampa, FL

Active since February 08, 2006
5130 SUNFOREST DR STE 300, TAMPA, FL 33634(727) 824-0780(813) 514-8891 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 17, 2022, Nov 24, 2021, Jan 15, 2021 and 4 more (7 updates tracked since 2016).

About Optum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTUM (NPI 1053384214) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since February 2006. The organization lists Laurene Ann Dougherty, Svp Of Integration & Transformation, as its authorized official.

NPPES Registry Identity

NPI1053384214
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameOPTUMCARE FLORIDA LLC
Location Address5130 SUNFOREST DR STE 300Tampa, FL 33634-6327
Mailing Address5130 Sunforest Dr Ste 300Tampa, FL 33634-6327 · (727) 824-0780 · Fax (813) 514-8891
Phone(727) 824-0780
Fax(813) 514-8891
Organization SubpartNo
Authorized OfficialLaurene Ann DoughertySvp Of Integration & Transformation · (727) 828-2322
Enumeration DateFebruary 8, 2006
Last NPPES UpdateMay 17, 20227 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
✔ NPI 1053384214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
5130 SUNFOREST DR STE 300, Tampa, FL 33634
Open in Google Maps ↗

Other Names 1

Doing Business AsOptum

Other Identifiers 2

Medicaid269895100FL
Medicaid014498800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

313

Medicare enrollment records show 313 clinicians reassign Medicare billing to Optum, which bills Medicare for the services they deliver. Of these, 38 practice at this address and 66 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Internal Medicine135
Family Practice102
Nurse Practitioner73
Hospitalist2
General Practice1

Nearest to this location (20)

See all 313
Felipe Alvarado Amado, MD
Internal Medicine
NPI 1023332657
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Srinivas Boppana, D.O.
Family Practice
NPI 1679839252
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Andrew Breitberg, DO, MPH
Internal Medicine
NPI 1811157621
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Crystal Coleman, D.O.
Internal Medicine
NPI 1043708399
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Courtney Costantino, D.O.
Internal Medicine
NPI 1851888366
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Richard Edwards, D.O
Family Practice
NPI 1700270675
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Vanessa Florival, MD, MHA
Internal Medicine
NPI 1437737855
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOSSame address
Mark Ford, D.O.
Family Practice
NPI 1649232349
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOSSame address
Peter Frances, DO
Internal Medicine
NPI 1548526809
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Deren Goker, DO
Internal Medicine
NPI 1194352849
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Regine Hargrett, ARNP
Nurse Practitioner
NPI 1750831780
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Carol Ives, ARNP
Nurse Practitioner
NPI 1295074250
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Nilofer Khan, M.D.
Internal Medicine
NPI 1720407224
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Ahmed Labib, MD
Family Practice
NPI 1679785711
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Andrew Lester, FNP-C
Nurse Practitioner
NPI 1770263725
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Geeta Mehan
Family Practice
NPI 1457884249
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Sejal Patel, MD
Family Practice
NPI 1316092299
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOSSame address
Suzette Pinto, M.D.
Family Practice
NPI 1902899321
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Cory Pollard, M.D.
Family Practice
NPI 1104277581
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
Anne Thorne-Picard, APRN
Nurse Practitioner
NPI 1326392937
5130 SUNFOREST DR STE 300
Tampa, FL 33634
(727) 824-0780
✔ PECOS✔ Accepts MedicareSame address
See all 313 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optumcare Florida LLC's NPI number?

The NPI number for Optumcare Florida LLC is 1053384214. It was assigned to this organization in the NPPES registry on February 8, 2006. The provider is doing business as Optum.

Where is Optumcare Florida LLC located?

Optumcare Florida LLC is located at 5130 Sunforest Dr Ste 300, Tampa, FL 33634. The listed phone number is (727) 824-0780.

What is Optumcare Florida LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Optumcare Florida LLC enrolled in Medicare?

Yes. Optumcare Florida LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optumcare Florida LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 313 clinicians in 5 Medicare specialties reassign their Medicare billing to Optumcare Florida LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (135), Family Practice (102) and Nurse Practitioner (73). Of these, 38 practice at this address and 66 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Optumcare Florida LLC was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.