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PHYSICIANS PROFESSIONAL ALLIANCE, LLC
NPI 1477179463
Surgery in Brandon, FL

Active since June 25, 2020
519 MEDICAL OAKS AVE, BRANDON, FL 33511(813) 685-7995(813) 685-8802 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2020, Jul 2, 2020, Jun 25, 2020 (3 updates tracked since 2020).

About Physicians Professional Alliance, Llc NPPES

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

PHYSICIANS PROFESSIONAL ALLIANCE, LLC (NPI 1477179463) is a healthcare organization registered as a surgery in Brandon, Florida and active in the NPI registry since June 2020. The organization lists Gopal S Grandhige, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1477179463
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePHYSICIANS PROFESSIONAL ALLIANCE, LLC
Location Address519 MEDICAL OAKS AVEBrandon, FL 33511-5961
Mailing Address519 Medical Oaks AveBrandon, FL 33511-5961 · (813) 685-7995 · Fax (813) 685-8802
Phone(813) 685-7995
Fax(813) 685-8802
Organization SubpartYesParent: Suncoast Surgical Associates P A
Authorized OfficialGopal S GrandhigeTreasurer · (813) 684-6006
Enumeration DateJune 25, 2020
Last NPPES UpdateJuly 6, 20203 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
✔ NPI 1477179463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
519 MEDICAL OAKS AVE, Brandon, FL 33511
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physicians Professional Alliance, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Physicians Professional Alliance, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Francisco Itriago, MD
General Surgery
NPI 1730326315
519 MEDICAL OAKS AVE
Brandon, FL 33511
(813) 685-7995
✔ PECOS✔ Accepts MedicareSame address
In Soon Park, MD
General Surgery
NPI 1083646350
519 MEDICAL OAKS AVE
Brandon, FL 33511
(813) 685-7995
✔ 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.

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 Physicians Professional Alliance, LLC's NPI number?

The NPI number for Physicians Professional Alliance, LLC is 1477179463. It was assigned to this organization in the NPPES registry on June 25, 2020.

Where is Physicians Professional Alliance, LLC located?

Physicians Professional Alliance, LLC is located at 519 Medical Oaks Ave, Brandon, FL 33511. The listed phone number is (813) 685-7995.

What is Physicians Professional Alliance, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Physicians Professional Alliance, LLC enrolled in Medicare?

Yes. Physicians Professional Alliance, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physicians Professional Alliance, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Physicians Professional Alliance, LLC. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Physicians Professional Alliance, LLC was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.