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CONCIERGE CARE TAMPA BAY LLC
NPI 1568805679
General Practice in Brandon, FL

Active since April 09, 2013
510 VONDERBURG DR, SUITE 213, BRANDON, FL 33511(813) 689-2961(813) 685-2348 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Concierge Care Tampa Bay Llc NPPES

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

CONCIERGE CARE TAMPA BAY LLC (NPI 1568805679) is a healthcare organization registered as a general practice in Brandon, Florida and active in the NPI registry since April 2013. The organization lists Chris Michael Nussbaum, President, as its authorized official.

NPPES Registry Identity

NPI1568805679
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCONCIERGE CARE TAMPA BAY LLC
Location Address510 VONDERBURG DR, SUITE 213Brandon, FL 33511-5954
Mailing Address510 Vonderburg Dr, Suite 213Brandon, FL 33511-5954 · (813) 689-2961 · Fax (813) 685-2348
Phone(813) 689-2961
Fax(813) 685-2348
Organization SubpartNo
Authorized OfficialChris Michael NussbaumPresident · (813) 689-2961
Enumeration DateApril 9, 2013
✔ NPI 1568805679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · 49552
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
510 VONDERBURG DR, Brandon, FL 33511
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIND51407FL

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)

Concierge Care Tampa Bay Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20130529000207Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
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 Concierge Care Tampa Bay LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chris Nussbaum, MD
General Practice
NPI 1306869391
510 VONDERBURG DRIVE SUITE 213
Brandon, FL 33511
(813) 508-1640
✔ 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 Concierge Care Tampa Bay LLC's NPI number?

The NPI number for Concierge Care Tampa Bay LLC is 1568805679. It was assigned to this organization in the NPPES registry on April 9, 2013.

Where is Concierge Care Tampa Bay LLC located?

Concierge Care Tampa Bay LLC is located at 510 Vonderburg Dr Suite 213, Brandon, FL 33511. The listed phone number is (813) 689-2961.

What is Concierge Care Tampa Bay LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Concierge Care Tampa Bay LLC enrolled in Medicare?

Yes. Concierge Care Tampa Bay LLC is registered in the Medicare PECOS enrollment system.

When is Concierge Care Tampa Bay LLC'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 November 30, 2026. 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 Concierge Care Tampa Bay LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Concierge Care Tampa Bay 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Concierge Care Tampa Bay LLC was last updated on April 9, 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.