MEDI CLINICS PRIMARY CARE LLC
NPI 1609120534
Clinic/Center - Multi-Specialty in Tampa, FL

Active since October 30, 2012CLIA 10D2110420 · Waiver
502 S MACDILL AVE, TAMPA, FL 33609(813) 465-9999(813) 831-6292 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1609120534
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMEDI CLINICS PRIMARY CARE LLC
Location Address502 S MACDILL AVETampa, FL 33609-3039
Mailing Address502 S Macdill AveTampa, FL 33609-3039 · (813) 465-9999 · Fax (813) 877-1222
Fax(813) 831-6292
Organization SubpartNo
Authorized OfficialVenkata Jaya Pratap BireddyOwner/administrator · (813) 465-9999
Enumeration DateOctober 30, 2012
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
NPI 1609120534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
502 S MACDILL AVE, Tampa, FL 33609

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

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, FL
Active · expires Mar 14, 2028
CLIA Number10D2110420
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorVenkata J. Bireddy
Laboratory Phone(813) 877-5111
Laboratory LocationMedi Clinics Primary Care LLC502 S Macdill Ave, Tampa, FL 33609
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
502 S MACDILL AVE
TAMPA, FL 33609
Nurse Practitioner (Family)
502 S MACDILL AVE
TAMPA, FL 33609
Internal Medicine
502 S MACDILL AVE
TAMPA, FL 33609
Internal Medicine
502 S MACDILL AVE
TAMPA, FL 33609

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 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.

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, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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.