TAMPA BAY MAXILLOFACIAL SURGERY, PLLC
NPI 1164932356
Dentist - Oral and Maxillofacial Surgery in St Petersburg, FL

Q: What is Tampa Bay Maxillofacial Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since October 03, 2017

2140 16TH ST N, ST PETERSBURG, FL 33704(727) 894-1442 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 21, 2019, Mar 17, 2018 (2 updates tracked since 2018).

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About Tampa Bay Maxillofacial Surgery, Pllc NPPES

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

TAMPA BAY MAXILLOFACIAL SURGERY, PLLC (NPI 1164932356) is a healthcare organization registered as an oral and maxillofacial surgery in St Petersburg, Florida and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Trinity and lists Robert J Yu, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1164932356

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameTAMPA BAY MAXILLOFACIAL SURGERY, PLLC

Location Address2140 16TH ST NSt Petersburg, FL 33704-3924

Mailing Address4021 Las Palmas WaySarasota, FL 34238-4531 · (727) 424-5540

Phone(727) 894-1442

Organization SubpartNo

Authorized OfficialRobert J YuManaging Member · (727) 894-1442

Enumeration DateOctober 3, 2017

Last NPPES UpdateJune 21, 20192 updates tracked since enumeration

✔ NPI 1164932356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

Also ListedClinic/Center · Oral and Maxillofacial SurgeryTaxonomy 261QS0112X

2140 16TH ST N, St Petersburg, FL 33704

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Secondary Practice Location 1

Location 18804 Hawbuck StTrinity, FL 34655-5360 · Phone (727) 894-1442

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Solstice Benefits and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tampa Bay Maxillofacial Surgery, Pllc 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 Tampa Bay Maxillofacial Surgery, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Chuong, MD, DMD

Oral Surgery

NPI 1558369678

2140 16TH ST N
St Petersburg, FL 33704

(727) 894-1442

✔ PECOSSame address

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 Tampa Bay Maxillofacial Surgery, PLLC's NPI number?

The NPI number for Tampa Bay Maxillofacial Surgery, PLLC is 1164932356. It was assigned to this organization in the NPPES registry on October 3, 2017.

Where is Tampa Bay Maxillofacial Surgery, PLLC located?

Tampa Bay Maxillofacial Surgery, PLLC is located at 2140 16th St N, St Petersburg, FL 33704. The listed phone number is (727) 894-1442.

What is Tampa Bay Maxillofacial Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Tampa Bay Maxillofacial Surgery, PLLC enrolled in Medicare?

Yes. Tampa Bay Maxillofacial Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tampa Bay Maxillofacial Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Tampa Bay Maxillofacial Surgery, PLLC. 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.

What insurance does Tampa Bay Maxillofacial Surgery, PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Solstice Benefits and UnitedHealthcare list Tampa Bay Maxillofacial Surgery, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tampa Bay Maxillofacial Surgery, PLLC was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.