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INTERNAL MEDICINE & PEDIATRICS OF TAMPA BAY PA
NPI 1508816786
Internal Medicine in Tampa, FL

Active since May 11, 2006CLIA 10D1018852 · Waiver
10111 WILSKY BLVD, TAMPA, FL 33625(813) 961-2222(813) 961-2220 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Internal Medicine & Pediatrics Of Tampa Bay Pa NPPES

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

INTERNAL MEDICINE & PEDIATRICS OF TAMPA BAY PA (NPI 1508816786) is a healthcare organization registered as an internal medicine in Tampa, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Frank D Demery, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1508816786
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE & PEDIATRICS OF TAMPA BAY PA
Location Address10111 WILSKY BLVDTampa, FL 33625
Mailing Address10111 Wilsky BlvdTampa, FL 33625 · (813) 961-2222 · Fax (813) 961-2220
Phone(813) 961-2222
Fax(813) 961-2220
Organization SubpartNo
Authorized OfficialFrank D DemeryTreasurer · (813) 961-2222
Enumeration DateMay 11, 2006
Last NPPES UpdateJanuary 10, 2013
✔ NPI 1508816786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME82542✔ Licensed in FL · ME87304
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License ME82542 (FL), ME87304 (FL)
10111 WILSKY BLVD, Tampa, FL 33625
Open in Google Maps ↗

Other Identifiers 8

Medicare UPINH92740FL
Medicare ID-Type Unspecified81240AFL · Dr. Mark Bilella
Medicare UPINH92741FL
Medicare PINK4651FL
Medicare ID-Type Unspecified81200AFL · Dr. Frank Demery
Medicaid267056900FL
Medicaid267054200FL
Medicaid267055100FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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)

Internal Medicine & Pediatrics Of Tampa Bay Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Internal Medicine & Pediatrics Of Tampa Bay PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Karen Ackley, MD
Pediatric Medicine
NPI 1356367379
10111 WILSKY BLVD
Tampa, FL 33625
(813) 961-2220
✔ PECOS✔ Accepts MedicareSame address
Mark Bilella, MD
Internal Medicine
NPI 1447200803
10111 WILSKY BLVD
Tampa, FL 33625
(813) 961-2222
✔ PECOS✔ Accepts MedicareSame address
Frank Demery, MD
Internal Medicine
NPI 1376592956
10111 WILSKY BLVD
Tampa, FL 33625
(813) 961-2222
✔ PECOS✔ Accepts MedicareSame address
Tera Ritchie, MS, ARNP, FNP-C
Nurse Practitioner
NPI 1356638118
10111 WILSKY BLVD
Tampa, FL 33625
(813) 961-2222
✔ 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.

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 10D1018852

Internal Medicine & Pediatrics Of Tampa Bay PA · Tampa, FL
Active · expires Nov 2, 2027
CLIA Number10D1018852
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorMark Bilella
Laboratory Phone(813) 792-1113
Laboratory LocationInternal Medicine & Pediatrics Of Tampa Bay PA10111 Wilsky Blvd, Tampa, FL 33625
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Internal Medicine & Pediatrics Of Tampa Bay PA's NPI number?

The NPI number for Internal Medicine & Pediatrics Of Tampa Bay PA is 1508816786. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Internal Medicine & Pediatrics Of Tampa Bay PA located?

Internal Medicine & Pediatrics Of Tampa Bay PA is located at 10111 Wilsky Blvd, Tampa, FL 33625. The listed phone number is (813) 961-2222.

What is Internal Medicine & Pediatrics Of Tampa Bay PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Internal Medicine & Pediatrics Of Tampa Bay PA enrolled in Medicare?

Yes. Internal Medicine & Pediatrics Of Tampa Bay PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine & Pediatrics Of Tampa Bay PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Internal Medicine & Pediatrics Of Tampa Bay PA, in Internal Medicine, Nurse Practitioner and Pediatric Medicine. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Internal Medicine & Pediatrics Of Tampa Bay PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1018852) is associated with this NPI, valid through November 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Internal Medicine & Pediatrics Of Tampa Bay PA accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Internal Medicine & Pediatrics Of Tampa Bay PA 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 Internal Medicine & Pediatrics Of Tampa Bay PA was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.