FL MOBILE MEDICAL PA
NPI 1629814512
Specialist in Oldsmar, FL
About Fl Mobile Medical Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FL MOBILE MEDICAL PA (NPI 1629814512) is a healthcare organization registered as a specialist in Oldsmar, Florida and active in the NPI registry since July 2024. The organization lists Glenn Gandelman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fl Mobile Medical Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Fl Mobile Medical PA, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Fl Mobile Medical PA's NPI number?
The NPI number for Fl Mobile Medical PA is 1629814512. It was assigned to this organization in the NPPES registry on July 1, 2024.
Where is Fl Mobile Medical PA located?
Fl Mobile Medical PA is located at 4033 Tampa Rd Ste 100, Oldsmar, FL 34677. The listed phone number is (203) 869-5515.
What is Fl Mobile Medical PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Fl Mobile Medical PA enrolled in Medicare?
Yes. Fl Mobile Medical PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fl Mobile Medical PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fl Mobile Medical PA, in Cardiovascular Disease (Cardiology) and Nurse Practitioner. 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 Fl Mobile Medical PA was last updated on August 23, 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.
# Fl Mobile Medical Pa · NPI 1629814512
Specialist organization in Oldsmar, Florida. Organization record, active in the CMS NPPES registry since July 1, 2024.
## Identity
- **NPI:** 1629814512 (Entity type: Organization)
- **Enumerated:** July 1, 2024
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Glenn Gandelman, OWNER
## Practice location
- **Address:** 4033 TAMPA RD STE 100, Oldsmar, FL 34677-3224
- **Phone:** (203) 869-5515 · **Fax:** (203) 869-5765
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Cardiovascular Disease (Cardiology) (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629814512) · Data from the CMS NPPES public registry.