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REEM ICHOA DO
NPI 1619464534
Pediatrics in Tampa, FL

Active since April 16, 2018PECOS Enrolled
12780 RACE TRACK RD STE 205, TAMPA, FL 33626(813) 792-8878(813) 443-8171 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2022, May 5, 2022, Jun 23, 2021 and 1 more (4 updates tracked since 2018).

About Reem Ichoa Do NPPES

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

REEM ICHOA DO (NPI 1619464534) is an individual pediatrics provider in Tampa, Florida, licensed in Florida (OS18140) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619464534
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameREEM ICHOACredential: DO
Location Address12780 RACE TRACK RD STE 205Tampa, FL 33626-1395
Mailing Address12780 Race Track Rd Ste 205Tampa, FL 33626-1395
Phone(813) 792-8878
Fax(813) 443-8171
Sole ProprietorYes
Enumeration DateApril 16, 2018
Last NPPES UpdateMay 25, 20224 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1619464534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · OS18140
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12780 RACE TRACK RD STE 205, Tampa, FL 33626
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reem Ichoa Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Reem Ichoa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baycare Medical Group, Inc.
8.5 mi
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
NPI 1043269871 (727) 281-9065

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DANIELLE BOYCE GLAROS APRN
Nurse Practitioner (Pediatrics)
12780 RACE TRACK RD STE 205
TAMPA, FL 33626
Hillsborough County (813) 792-8878
MEGAN RAEANNE SUMMERS
Social Worker (Clinical)
12780 RACE TRACK RD STE 205
TAMPA, FL 33626
Hillsborough County (813) 792-8878
BAYCARE BEHAVIORAL HEALTH INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
12780 RACE TRACK RD STE 205
TAMPA, FL 33626
Hillsborough County (813) 792-8878
BAYCARE MEDICAL GROUP INC
Pediatrics
12780 RACE TRACK RD STE 205
TAMPA, FL 33626
Hillsborough County (813) 792-8878

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 Reem Ichoa's NPI number?

The NPI number for Reem Ichoa is 1619464534. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Reem Ichoa located?

Reem Ichoa practices at 12780 Race Track Rd Ste 205, Tampa, FL 33626. The listed phone number is (813) 792-8878.

What is Reem Ichoa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Reem Ichoa enrolled in Medicare?

Yes. Reem Ichoa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Reem Ichoa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reem Ichoa reassigns Medicare benefits to Baycare Medical Group, Inc. (Clearwater, FL). The 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 Reem Ichoa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reem Ichoa accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Reem Ichoa 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 Reem Ichoa was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.