SUNSTATE DOCTORS MEDICAL GROUP
NPI 1396000154
Clinic/Center - Primary Care in Wimauma, FL
About Sunstate Doctors Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNSTATE DOCTORS MEDICAL GROUP (NPI 1396000154) is a healthcare organization registered as a primary care in Wimauma, Florida and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Khushi A. Dhaliwal, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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)
Sunstate Doctors Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Sunstate Doctors Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
San Juan, PR 00921
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 10D2052603
Tampa Bay Family Physicians Inc · Wimauma, 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 Tampa Bay Family Physicians Inc's NPI number?
The NPI number for Tampa Bay Family Physicians Inc is 1396000154. It was assigned to this organization in the NPPES registry on July 9, 2012. The provider is doing business as Sunstate Doctors Medical Group.
Where is Tampa Bay Family Physicians Inc located?
Tampa Bay Family Physicians Inc is located at 5113 State Road 674, Ste 103, Wimauma, FL 33598. The listed phone number is (813) 633-2000.
What is Tampa Bay Family Physicians Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Tampa Bay Family Physicians Inc enrolled in Medicare?
Yes. Tampa Bay Family Physicians Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tampa Bay Family Physicians Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Tampa Bay Family Physicians Inc, in Family Practice, General Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tampa Bay Family Physicians Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2052603) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tampa Bay Family Physicians Inc accept?
Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tampa Bay Family Physicians 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 Tampa Bay Family Physicians Inc was last updated on April 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sunstate Doctors Medical Group · NPI 1396000154
Primary Care organization in Wimauma, Florida. Organization record, active in the CMS NPPES registry since July 9, 2012.
## Identity
- **NPI:** 1396000154 (Entity type: Organization)
- **Enumerated:** July 9, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Tampa Bay Family Physicians Inc
- **Organization subpart:** No
- **Authorized official:** Khushi Dhaliwal, PRESIDENT
## Practice location
- **Address:** 5113 STATE ROAD 674, STE 103, Wimauma, FL 33598
- **Phone:** (813) 633-2000 · **Fax:** (813) 849-9301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Internal Medicine (2), General Practice (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2024
- **Other identifiers:** Medicaid 007662600 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396000154) · Data from the CMS NPPES public registry.