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TAM PHU
NPI 1669895405
Nurse Practitioner - Pediatrics in St Petersburg, FL

Active since January 30, 2014PECOS EnrolledAccepts Medicare Assignment
601 5TH ST S, ST PETERSBURG, FL 33701(727) 767-8181(727) 767-8030 Get Directions Write a Review

NPPES record last updated: February 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2016, Jan 28, 2016 (2 updates tracked since 2016).

About Tam Phu NPPES

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

TAM PHU (NPI 1669895405) is an individual pediatrics provider in St Petersburg, Florida, licensed in Florida (ARNP9295757) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669895405
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTAM PHU
Location Address601 5TH ST SSt Petersburg, FL 33701-4804
Mailing Address601 5th St SSt Petersburg, FL 33701-4804 · (727) 767-8181 · Fax (727) 767-8030
Phone(727) 767-8181
Fax(727) 767-8030
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 30, 2014
Last NPPES UpdateFebruary 14, 20162 updates tracked since enumeration
✔ NPI 1669895405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in FL · ARNP9295757✔ Licensed in FL · 9295757
601 5TH ST S, St Petersburg, FL 33701
Open in Google Maps ↗

Other Identifiers 1

Medicaid1669895405FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tam Phu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385981372
PECOS Enrollment IDI20190129002967
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33701 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 20

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

SUPAMIT UKARAPONG M.D.
Pediatrics (Pediatric Endocrinology)
601 5TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-3636
AIMEN ELMEHDI BEN AYAD M.D.
Pediatrics (Neonatal-Perinatal Medicine)
601 5TH ST S
SAINT PETERSBURG, FL 33701
Pinellas County (727) 767-4313
DR. JENNIFER BECK DEAN MD
Pediatrics (Pediatric Hematology-Oncology)
601 5TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4176
MRS. SHANNA ANN SHERMAN ARNP
Nurse Practitioner (Pediatrics)
601 5TH ST S, SUITE 605
ST PETERSBURG, FL 33701
Pinellas County (727) 822-4300
SHELLEY NICHOLLS APRN
Nurse Practitioner (Pediatrics)
601 5TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-3636
MARY CATHERINE DORN
Nurse Anesthetist, Certified Registered
601 5TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 898-7451
GERALD FRANCIS TUITE JR. MD
Neurological Surgery
601 5TH ST S, 5TH FLOOR
ST PETERSBURG, FL 33701
Pinellas County (727) 767-8181
DR. SCOTT D MCKINLEY DO
Pediatrics (Pediatric Pulmonology)
601 5TH ST S, STE 708 DEPT 3012
SAINT PETERSBURG, FL 33701
Pinellas County (727) 767-4146

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 Tam Phu's NPI number?

The NPI number for Tam Phu is 1669895405. It was assigned to this individual provider in the NPPES registry on January 30, 2014.

Where is Tam Phu located?

Tam Phu practices at 601 5th St S, St Petersburg, FL 33701. The listed phone number is (727) 767-8181.

What is Tam Phu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tam Phu enrolled in Medicare?

Yes. Tam Phu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tam Phu accept?

Health plans from AvMed list Tam Phu 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 Tam Phu was last updated on February 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.