MEDI CLINICS PRIMARY CARE LLC
NPI 1609120534
Clinic/Center - Multi-Specialty in Tampa, FL
About Medi Clinics Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDI CLINICS PRIMARY CARE LLC (NPI 1609120534) is a healthcare organization registered as a multi-specialty in Tampa, Florida and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Venkata Jaya Pratap Bireddy, Owner/administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted 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)
Medi Clinics Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Medi Clinics Primary Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 10D2110420
Medi Clinics Primary Care LLC · Tampa, FLFrequently 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 Medi Clinics Primary Care LLC's NPI number?
The NPI number for Medi Clinics Primary Care LLC is 1609120534. It was assigned to this organization in the NPPES registry on October 30, 2012.
Where is Medi Clinics Primary Care LLC located?
Medi Clinics Primary Care LLC is located at 502 S Macdill Ave, Tampa, FL 33609. The listed phone number is (813) 465-9999.
What is Medi Clinics Primary Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Medi Clinics Primary Care LLC enrolled in Medicare?
Yes. Medi Clinics Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medi Clinics Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Medi Clinics Primary Care 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. The largest specialties are Internal Medicine (3) and Nurse Practitioner (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medi Clinics Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2110420) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Medi Clinics Primary Care LLC accept?
Health plans from AvMed list Medi Clinics Primary Care LLC 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 Medi Clinics Primary Care LLC was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Medi Clinics Primary Care Llc · NPI 1609120534
Multi-Specialty organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since October 30, 2012.
## Identity
- **NPI:** 1609120534 (Entity type: Organization)
- **Enumerated:** October 30, 2012
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Venkata Bireddy, OWNER/ADMINISTRATOR
## Practice location
- **Address:** 502 S MACDILL AVE, Tampa, FL 33609-3039
- **Phone:** (813) 465-9999 · **Fax:** (813) 831-6292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Nurse Practitioner (2); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609120534) · Data from the CMS NPPES public registry.