DR. JOHN M PRPICH II MD
NPI 1316038466
Pediatrics - Pediatric Pulmonology in Tampa, FL
About Dr. John M Prpich Ii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN M PRPICH II MD (NPI 1316038466) is an individual pediatric pulmonology provider in Tampa, Florida, licensed in Florida (ME91110) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John M Prpich Ii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Prpich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33603
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33603
TAMPA, FL 33603
TAMPA, FL 33603
TAMPA, FL 33603
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 John Prpich's NPI number?
The NPI number for John Prpich is 1316038466. It was assigned to this individual provider in the NPPES registry on September 27, 2006.
Where is John Prpich located?
John Prpich practices at 4714 N Armenia Ave Suite 201, Tampa, FL 33603. The listed phone number is (813) 870-1995.
What is John Prpich's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.
Is John Prpich enrolled in Medicare?
Yes. John Prpich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Prpich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Prpich reassigns Medicare benefits to Pediatric Pulmonary Specialists PA (Tampa, FL). The 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 John Prpich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Prpich accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 4 other insurers list John Prpich 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 John Prpich was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. John M Prpich II, MD · NPI 1316038466
Pediatric Pulmonology physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1316038466 (Entity type: Individual)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **State license:** ME91110 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4714 N ARMENIA AVE, SUITE 201, Tampa, FL 33603-2603
- **Phone:** (813) 870-1995 · **Fax:** (813) 875-1889
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pediatric Pulmonary Specialists PA (NPI 1033132857, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 280667300 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1316038466) · Data from the CMS NPPES public registry.