LA VIDA MEDICAL GROUP , INC
NPI 1437960077
Internal Medicine in Tampa, FL
About La Vida Medical Group , Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA VIDA MEDICAL GROUP , INC (NPI 1437960077) is a healthcare organization registered as an internal medicine in Tampa, Florida and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Sanlly Perez Ceballos, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
La Vida Medical Group , Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to La Vida Medical Group , Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Tampa, FL 33607
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 10D2318850
La Vida Medical Group Inc · Tampa, 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 La Vida Medical Group , Inc's NPI number?
The NPI number for La Vida Medical Group , Inc is 1437960077. It was assigned to this organization in the NPPES registry on January 14, 2025.
Where is La Vida Medical Group , Inc located?
La Vida Medical Group , Inc is located at 3802 Gunn Hwy, Tampa, FL 33618. The listed phone number is (813) 296-6266.
What is La Vida Medical Group , Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is La Vida Medical Group , Inc enrolled in Medicare?
Yes. La Vida Medical Group , Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through La Vida Medical Group , Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to La Vida Medical Group , Inc, in 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does La Vida Medical Group , Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2318850) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does La Vida Medical Group , Inc accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list La Vida Medical Group , 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 La Vida Medical Group , Inc was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# La Vida Medical Group , Inc · NPI 1437960077
Internal Medicine organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since January 14, 2025.
## Identity
- **NPI:** 1437960077 (Entity type: Organization)
- **Enumerated:** January 14, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** Yes (part of La Vida Medical Group Inc)
- **Authorized official:** Sanlly Perez Ceballos, PRESIDENT
## Practice location
- **Address:** 3802 GUNN HWY, Tampa, FL 33618-8793
- **Phone:** (813) 296-6266 · **Fax:** (813) 522-8929
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437960077) · Data from the CMS NPPES public registry.