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JUSTIN ELCHAK
NPI 1215864178
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since May 05, 2026PECOS Enrolled
3100 E FLETCHER AVE, TAMPA, FL 33613(813) 971-6000 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Elchak NPPES

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

JUSTIN ELCHAK (NPI 1215864178) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since May 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215864178
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameJUSTIN ELCHAK
Location Address3100 E FLETCHER AVETampa, FL 33613-4613
Mailing Address1701 N Florida Ave Unit 220Tampa, FL 33602-2253
Phone(813) 971-6000
Sole ProprietorYes
Enumeration DateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1215864178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3100 E FLETCHER AVE, Tampa, FL 33613
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEANOR INNOCENT DPT
Physical Therapist
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 615-7200
TYLER CHRISTIAN MILLS DO
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
ALEXIS CREWS SA-C
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 615-7030
JOSUE PIERRE
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
STEPHANIE RAY KING
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
DR. JONEH MARHEFKA DO
Student in an Organized Health Care Education/Training Program
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
TIMOTHY MICHAEL FABER ARNP
Nurse Practitioner
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
LARRY L LAND MD
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000

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 Justin Elchak's NPI number?

The NPI number for Justin Elchak is 1215864178. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Justin Elchak located?

Justin Elchak practices at 3100 E Fletcher Ave, Tampa, FL 33613. The listed phone number is (813) 971-6000.

What is Justin Elchak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Elchak enrolled in Medicare?

Yes. Justin Elchak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Elchak was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.