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EASTLAKE MEDICAL CENTER PA
NPI 1376735316
Internal Medicine in Palm Harbor, FL

Active since August 14, 2007CLIA 10D2041986 · Waiver
2595 TAMPA RD, STE K, PALM HARBOR, FL 34684(727) 789-6551 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eastlake Medical Center Pa NPPES

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

EASTLAKE MEDICAL CENTER PA (NPI 1376735316) is a healthcare organization registered as an internal medicine in Palm Harbor, Florida and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Vijay Taunk, President, as its authorized official.

NPPES Registry Identity

NPI1376735316
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEASTLAKE MEDICAL CENTER PA
Location Address2595 TAMPA RD, STE KPalm Harbor, FL 34684-3152
Mailing Address2595 Tampa Rd, Ste KPalm Harbor, FL 34684 · (727) 789-6551
Phone(727) 789-6551
Organization SubpartNo
Authorized OfficialVijay TaunkPresident · (727) 789-6551
Enumeration DateAugust 14, 2007
Last NPPES UpdateDecember 3, 2012
✔ NPI 1376735316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0064536
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2595 TAMPA RD, Palm Harbor, FL 34684
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN23400AFL

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Eastlake Medical Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastlake Medical Center PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vijay Taunk, M.D
Internal Medicine
NPI 1417958497
2595 TAMPA RD SUITE K
Palm Harbor, FL 34684
(727) 789-6551
✔ PECOS✔ Accepts MedicareSame address

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

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 10D2041986

Eastlake Medical Center · Palm Harbor, FL
Active · expires Jun 3, 2028
CLIA Number10D2041986
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorVijay Taunk
Laboratory Phone(727) 789-6551
Laboratory LocationEastlake Medical Center2595 Tampa Rd Ste K, Palm Harbor, FL 34684
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Eastlake Medical Center PA's NPI number?

The NPI number for Eastlake Medical Center PA is 1376735316. It was assigned to this organization in the NPPES registry on August 14, 2007.

Where is Eastlake Medical Center PA located?

Eastlake Medical Center PA is located at 2595 Tampa Rd Ste K, Palm Harbor, FL 34684. The listed phone number is (727) 789-6551.

What is Eastlake Medical Center PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Eastlake Medical Center PA enrolled in Medicare?

Yes. Eastlake Medical Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastlake Medical Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Eastlake Medical Center PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eastlake Medical Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2041986) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastlake Medical Center PA accept?

Health plans from AvMed list Eastlake Medical Center PA 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 Eastlake Medical Center PA was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.