MOFFITT MEDICAL GROUP
NPI 1306833595
Internal Medicine - Hematology & Oncology in Tampa, FL

Active since October 03, 2005
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 26, 2024, Sep 9, 2024 (2 updates tracked since 2024).

About Moffitt Medical Group NPPES

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

MOFFITT MEDICAL GROUP (NPI 1306833595) is a healthcare organization registered as a hematology & oncology in Tampa, Florida and active in the NPI registry since October 2005. The organization maintains 5 additional practice locations and lists Maureen Clement, Director, as its authorized official.

NPPES Registry Identity

NPI1306833595
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameH LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (866) 761-5658
Organization SubpartNo
Authorized OfficialMaureen ClementDirector · (813) 745-4673
Enumeration DateOctober 3, 2005
Last NPPES UpdateDecember 26, 20242 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1306833595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X
12902 USF MAGNOLIA DR, Tampa, FL 33612

Other Names 1

Doing Business AsMoffitt Medical Group

Secondary Practice Locations 5

Location 12590 Healing Way Ste 200Wesley Chapel, FL 33543-5497 · Phone (813) 745-4673
Location 22590 Healing Way Ste 100Wesley Chapel, FL 33543-5496 · Phone (813) 745-4673
Location 310920 McKinley DrTampa, FL 33612-6471 · Phone (813) 745-4673
Location 410901 McKinley DrTampa, FL 33612-6455 · Phone (813) 745-4673
Location 54101 Jim Walter BlvdTampa, FL 33607-5775 · Phone (813) 745-4673

Other Identifiers 4

Medicaid373056500FL
Other24755FL · Bcbs
Other3400057FL · United Healthcare
Other10D0965510FL · Clia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Moffitt Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

987

Medicare enrollment records show 987 clinicians reassign Medicare billing to Moffitt Medical Group, which bills Medicare for the services they deliver. Of these, 627 practice at this address and 908 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 40

Nurse Practitioner323
Diagnostic Radiology81
Pathology70
Internal Medicine67
Hematology/Oncology55
Certified Registered Nurse Anesthetist (CRNA)49
Anesthesiology37
Radiation Oncology37
32 other specialties268

Nearest to this location (20)

See all 987
Nurse Practitioner
NPI 1134735285
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-8380
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1871721894
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1811359037
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-7365
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1598298614
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1588951560
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts MedicareSame address
Interventional Radiology
NPI 1184069411
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1659633915
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-8535
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1083964878
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-8658
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1366628992
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1245507227
12902 USF MAGNOLIA DR
Tampa, FL 33612
(137) 452-7188
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1306462932
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-7487
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740881796
12902 USF MAGNOLIA DRIVE
Tampa, FL 33612
(813) 745-7365
✔ Accepts MedicareSame address
Gynecological Oncology
NPI 1194143776
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1649513789
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1174721302
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1992221444
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1194103648
12902 USF MAGNOLIA DR
Tampa, FL 33612
(888) 663-3488
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1669857199
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts MedicareSame address
Hematopoietic Cell Transplantation and Cellular Therapy
NPI 1205009024
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-7208
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1356539464
12902 USF MAGNOLIA DR FOB-1
Tampa, FL 33612
(813) 745-6161
✔ PECOS✔ Accepts MedicareSame address
See all 987 clinicians

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 H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc's NPI number?

The NPI number for H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc is 1306833595. It was assigned to this organization in the NPPES registry on October 3, 2005. The provider is doing business as Moffitt Medical Group.

Where is H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc located?

H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc is located at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-4673.

What is H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc enrolled in Medicare?

Yes. H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 987 clinicians in 40 Medicare specialties reassign their Medicare billing to H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc. 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 (323), Diagnostic Radiology (81) and Pathology (70). Of these, 627 practice at this address and 908 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc 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 H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.