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ST. MARY'S NEUROLOGY CENTER, INC.
NPI 1477641959
Psychiatry & Neurology - Neurology in Tampa, FL

Active since October 10, 2006
15267 AMBERLY DR, TAMPA, FL 33647(813) 972-5414(813) 972-5413 Get Directions Write a Review

NPPES record last updated: July 2, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About St. Mary's Neurology Center, Inc. NPPES

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

ST. MARY'S NEUROLOGY CENTER, INC. (NPI 1477641959) is a healthcare organization registered as a neurology in Tampa, Florida and active in the NPI registry since October 2006. The organization lists Reena J. Kavilaveettil, President, as its authorized official.

NPPES Registry Identity

NPI1477641959
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameST. MARY'S NEUROLOGY CENTER, INC.
Location Address15267 AMBERLY DRTampa, FL 33647-2155
Mailing Address15267 Amberly DrTampa, FL 33647-2155 · (813) 972-5414 · Fax (813) 972-5413
Phone(813) 972-5414
Fax(813) 972-5413
Organization SubpartNo
Authorized OfficialReena J. KavilaveettilPresident · (813) 972-5414
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 2, 2015
✔ NPI 1477641959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME92765
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
15267 AMBERLY DR, Tampa, FL 33647
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Other Identifiers 2

Medicare UPINI37567
Medicare PINQ0392FL

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, 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)

St. Mary's Neurology Center, Inc. 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 St. Mary's Neurology Center, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Reena Kavilaveettil, MD
Neurology
NPI 1629023379
15267 AMBERLY DR
Tampa, FL 33647
(813) 972-5414
✔ 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 St. Mary's Neurology Center, Inc.'s NPI number?

The NPI number for St. Mary's Neurology Center, Inc. is 1477641959. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is St. Mary's Neurology Center, Inc. located?

St. Mary's Neurology Center, Inc. is located at 15267 Amberly Dr, Tampa, FL 33647. The listed phone number is (813) 972-5414.

What is St. Mary's Neurology Center, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is St. Mary's Neurology Center, Inc. enrolled in Medicare?

Yes. St. Mary's Neurology Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Mary's Neurology Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to St. Mary's Neurology Center, Inc.. 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.

What insurance does St. Mary's Neurology Center, Inc. accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list St. Mary's Neurology Center, 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 St. Mary's Neurology Center, Inc. was last updated on July 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.