CAROLYN SCHROEDER CONNELLY MD PA
NPI 1134437759
Specialist in Tampa, FL

Active since September 16, 2010
2919 W SWANN AVE, 404, TAMPA, FL 33609(813) 870-2100(813) 870-2125 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolyn Schroeder Connelly Md Pa NPPES

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

CAROLYN SCHROEDER CONNELLY MD PA (NPI 1134437759) is a healthcare organization registered as a specialist in Tampa, Florida and active in the NPI registry since September 2010. The organization lists Carolyn S Connelly, President, as its authorized official.

NPPES Registry Identity

NPI1134437759
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCAROLYN SCHROEDER CONNELLY MD PA
Location Address2919 W SWANN AVE, 404Tampa, FL 33609-4038
Mailing Address2919 W Swann Ave, 404Tampa, FL 33609-4038 · (813) 870-2100 · Fax (813) 870-2125
Fax(813) 870-2125
Organization SubpartNo
Authorized OfficialCarolyn S ConnellyPresident · (813) 870-2100
Enumeration DateSeptember 16, 2010
✔ NPI 1134437759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME51168
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2919 W SWANN AVE, Tampa, FL 33609

Other Identifiers 1

Medicare UPINE22521FL

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 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)

Carolyn Schroeder Connelly Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Carolyn Schroeder Connelly MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rheumatology
NPI 1083712418
110 S MACDILL AVE STE 300
Tampa, FL 33609
(813) 870-2100
✔ PECOS✔ Accepts Medicare0.4 mi

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 Carolyn Schroeder Connelly MD PA's NPI number?

The NPI number for Carolyn Schroeder Connelly MD PA is 1134437759. It was assigned to this organization in the NPPES registry on September 16, 2010.

Where is Carolyn Schroeder Connelly MD PA located?

Carolyn Schroeder Connelly MD PA is located at 2919 W Swann Ave 404, Tampa, FL 33609. The listed phone number is (813) 870-2100.

What is Carolyn Schroeder Connelly MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Carolyn Schroeder Connelly MD PA enrolled in Medicare?

Yes. Carolyn Schroeder Connelly MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolyn Schroeder Connelly MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Rheumatology) reassigns their Medicare billing to Carolyn Schroeder Connelly MD PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carolyn Schroeder Connelly MD PA was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.