TRICOUNTY HEALTH LLC
NPI 1619435179
Internal Medicine in Wildwood, FL

Active since March 04, 2019CLIA 10D2178555 · Waiver
4056 E STATE ROAD 44, WILDWOOD, FL 34785(732) 335-6516 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2025, Jun 14, 2019, May 30, 2019 and 1 more (4 updates tracked since 2019).

About Tricounty Health Llc NPPES

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

TRICOUNTY HEALTH LLC (NPI 1619435179) is a healthcare organization registered as an internal medicine in Wildwood, Florida and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Shrikanth Upadya, President, as its authorized official.

NPPES Registry Identity

NPI1619435179
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRICOUNTY HEALTH LLC
Location Address4056 E STATE ROAD 44Wildwood, FL 34785-7486
Mailing Address4056 E State Road 44Wildwood, FL 34785-7486
Organization SubpartNo
Authorized OfficialShrikanth UpadyaPresident · (352) 726-8353
Enumeration DateMarch 4, 2019
Last NPPES UpdateMay 6, 20254 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1619435179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
4056 E STATE ROAD 44, Wildwood, FL 34785

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tricounty Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Tricounty Health LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner5
Internal Medicine3
Endocrinology2
Neurology1
Physical Medicine and Rehabilitation1
Podiatry1
Preventive Medicine1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1083185169
4056 E STATE ROAD 44
Wildwood, FL 34785
(352) 268-0003
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1093236515
4056 E STATE ROAD 44
Wildwood, FL 34785
(352) 268-0003
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1508422809
4056 E STATE ROAD 44
Wildwood, FL 34785
(352) 268-0003
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770307100
2955 BROWNWOOD BLVD STE 107
The Villages, FL 32163
(352) 765-7100
✔ PECOS✔ Accepts Medicare0.4 mi
Endocrinology
NPI 1164083929
1580 SANTA BARBARA BLVD
The Villages, FL 32159
(352) 259-2159
✔ PECOS✔ Accepts Medicare8.5 mi
Internal Medicine
NPI 1215599261
17190 SE 109TH TERRACE RD
Summerfield, FL 34491
(352) 268-0003
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1326698424
3130 SW 32ND AVE
Ocala, FL 34474
(352) 732-4032
✔ PECOS✔ Accepts Medicare23 mi
Endocrinology
NPI 1699772574
2135 SW 19TH AVENUE RD STE 103
Ocala, FL 34471
(352) 368-1360
✔ PECOS✔ Accepts Medicare23 mi
Physical Medicine and Rehabilitation
NPI 1154467553
1530 CITRUS MEDICAL CT STE 101
Ocoee, FL 34761
(407) 622-7246
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1013653047
153 SUGAR BELLE DR STE J
Winter Garden, FL 34787
(321) 766-4985
✔ PECOS✔ Accepts Medicare41 mi
Neurology
NPI 1932355971
6000 METROWEST BLVD STE 104-105
Orlando, FL 32835
(407) 365-3033
✔ PECOS✔ Accepts Medicare42 mi
Preventive Medicine
NPI 1679881809
950 COUNTY ROAD 17A W
Avon Park, FL 33825
(866) 234-8534
✔ PECOS✔ Accepts Medicare91 mi
Internal Medicine
NPI 1013362086
3725 PIAZZA DR APT 202
Fort Myers, FL 33916
(000) 000-0000
✔ PECOS✔ Accepts Medicare154 mi
Nurse Practitioner
NPI 1003243718
10200 MUKILTEO SPEEDWAY
Mukilteo, WA 98275
(425) 525-6325
✔ PECOS✔ Accepts Medicare2,510 mi

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 10D2178555

Tricounty Health LLC · Wildwood, FL
Active · expires Feb 4, 2028
CLIA Number10D2178555
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorShrikanth Upadya
Laboratory Phone(352) 268-0003
Laboratory LocationTricounty Health LLC4056 E Sr 44, Wildwood, FL 34785
CLIA data matches this NPI record on: 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 Tricounty Health LLC's NPI number?

The NPI number for Tricounty Health LLC is 1619435179. It was assigned to this organization in the NPPES registry on March 4, 2019.

Where is Tricounty Health LLC located?

Tricounty Health LLC is located at 4056 E State Road 44, Wildwood, FL 34785. The listed phone number is (732) 335-6516.

What is Tricounty Health LLC's specialty?

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

Is Tricounty Health LLC enrolled in Medicare?

Yes. Tricounty Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tricounty Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 7 Medicare specialties reassign their Medicare billing to Tricounty Health 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 Nurse Practitioner (5), Internal Medicine (3) and Endocrinology (2). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tricounty Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2178555) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tricounty Health LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tricounty Health 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 Tricounty Health LLC was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.