MY DOCTOR MEDICAL GROUP CORP
NPI 1295237675
General Practice in Tampa, FL
About My Doctor Medical Group Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MY DOCTOR MEDICAL GROUP CORP (NPI 1295237675) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through March 10, 2027, maintains 2 additional practice locations, and lists Alejandro Gonzalez, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 1
Accepted 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)
My Doctor Medical Group Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to My Doctor Medical Group Corp, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 10D2163218
My Doctor Medical Group Corp · Tampa, FLCertificate of Waiver 10D2270683
My Doctor Medical Group Corp · Brandon, FLFrequently 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 My Doctor Medical Group Corp's NPI number?
The NPI number for My Doctor Medical Group Corp is 1295237675. It was assigned to this organization in the NPPES registry on March 1, 2018.
Where is My Doctor Medical Group Corp located?
My Doctor Medical Group Corp is located at 6822 W Waters Ave, Tampa, FL 33634. The listed phone number is (813) 280-4909.
What is My Doctor Medical Group Corp's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is My Doctor Medical Group Corp enrolled in Medicare?
Yes. My Doctor Medical Group Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through My Doctor Medical Group Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to My Doctor Medical Group Corp. 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 Nurse Practitioner (5) and General Practice (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does My Doctor Medical Group Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2163218) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does My Doctor Medical Group Corp accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 24 other insurers list My Doctor Medical Group Corp 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 My Doctor Medical Group Corp was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.
# My Doctor Medical Group Corp · NPI 1295237675
General Practice organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since March 1, 2018.
## Identity
- **NPI:** 1295237675 (Entity type: Organization)
- **Enumerated:** March 1, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Alejandro Gonzalez, PRESIDENT
## Practice location
- **Address:** 6822 W WATERS AVE, Tampa, FL 33634-2212
- **Phone:** (813) 280-4909 · **Fax:** (813) 302-7143
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), General Practice (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2026
- **Other identifiers:** Medicaid 101345800 (FL)
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1295237675) · Data from the CMS NPPES public registry.