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GEORGE M NORTHRUP M D P A
NPI 1477742799
Specialist in Tampa, FL

Active since October 23, 2007
5100 W KENNEDY BLVD STE 160, TAMPA, FL 33609(813) 350-9500(813) 350-9544 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 19, 2025, Nov 1, 2023 (2 updates tracked since 2023).

About George M Northrup M D P A NPPES

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

GEORGE M NORTHRUP M D P A (NPI 1477742799) is a healthcare organization registered as a specialist in Tampa, Florida and active in the NPI registry since October 2007. The organization lists George M Northrup, Owner, as its authorized official.

NPPES Registry Identity

NPI1477742799
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGEORGE M NORTHRUP M D P A
Location Address5100 W KENNEDY BLVD STE 160Tampa, FL 33609-1817
Mailing Address5100 W Kennedy Blvd Ste 160Tampa, FL 33609-1817 · (813) 350-9500 · Fax (813) 350-9544
Phone(813) 350-9500
Fax(813) 350-9544
Organization SubpartNo
Authorized OfficialGeorge M NorthrupOwner · (813) 350-9500
Enumeration DateOctober 23, 2007
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1477742799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME82344
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5100 W KENNEDY BLVD STE 160, Tampa, FL 33609
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George M Northrup M D P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20071215000005Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to George M Northrup M D P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

George Northrup, M.D.
Psychiatry
NPI 1629006507
5100 W KENNEDY BLVD STE 160
Tampa, FL 33609
(813) 350-9500
✔ 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 George M Northrup M D P A's NPI number?

The NPI number for George M Northrup M D P A is 1477742799. It was assigned to this organization in the NPPES registry on October 23, 2007.

Where is George M Northrup M D P A located?

George M Northrup M D P A is located at 5100 W Kennedy Blvd Ste 160, Tampa, FL 33609. The listed phone number is (813) 350-9500.

What is George M Northrup M D P A's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is George M Northrup M D P A enrolled in Medicare?

Yes. George M Northrup M D P A is registered in the Medicare PECOS enrollment system.

When is George M Northrup M D P A's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through George M Northrup M D P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to George M Northrup M D P A. 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.

When was this NPI record last updated?

The NPPES record for George M Northrup M D P A was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.