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NORTHDALE FAMILY DR
NPI 1285024380
Family Medicine in Tampa, FL

Active since January 27, 2015
3865 NORTHDALE BLVD, TAMPA, FL 33624(813) 960-4401 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Northdale Family Dr NPPES

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

NORTHDALE FAMILY DR (NPI 1285024380) is a healthcare organization registered as a family medicine in Tampa, Florida and active in the NPI registry since January 2015. The organization lists Yakub Ahmed Pothiawala, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1285024380
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHDALE FAMILY DR
Location Address3865 NORTHDALE BLVDTampa, FL 33624-1861
Mailing Address3865 Northdale BlvdTampa, FL 33624-1861 · (813) 960-4401
Phone(813) 960-4401
Organization SubpartNo
Authorized OfficialYakub Ahmed PothiawalaMedical Doctor · (813) 960-4401
Enumeration DateJanuary 27, 2015
✔ NPI 1285024380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0070225
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3865 NORTHDALE BLVD, Tampa, FL 33624
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0977835

Northdale Family Doctor · Tampa, FL
Expired · Sep 6, 2026
CLIA Number10D0977835
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorYakub A. Pothiawala MD
Laboratory Phone(813) 960-4401
Laboratory LocationNorthdale Family Doctor3865 Northdale Blvd, Tampa, FL 33624
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. YAKUB AHMED POTHIAWALA MD
Family Medicine
3865 NORTHDALE BLVD
TAMPA, FL 33624
Hillsborough County (813) 960-4401

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 Northdale Family Dr's NPI number?

The NPI number for Northdale Family Dr is 1285024380. It was assigned to this organization in the NPPES registry on January 27, 2015.

Where is Northdale Family Dr located?

Northdale Family Dr is located at 3865 Northdale Blvd, Tampa, FL 33624. The listed phone number is (813) 960-4401.

What is Northdale Family Dr's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Northdale Family Dr accept?

Health plans from Molina Healthcare list Northdale Family Dr 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 Northdale Family Dr was last updated on January 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.