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TAMPA GENERAL MEDICAL GROUP INC
NPI 1689000176
Family Medicine in Tampa, FL

Active since September 17, 2013
16011 TAMPA PALMS BLVD W, TAMPA, FL 33647(813) 844-8100(813) 844-1106 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2025, May 25, 2022, Oct 13, 2021 and 4 more (7 updates tracked since 2016).

About Tampa General Medical Group Inc NPPES

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

TAMPA GENERAL MEDICAL GROUP INC (NPI 1689000176), doing business as Tgmg Tampa Palms, is a healthcare organization registered as a family medicine in Tampa, Florida and active in the NPI registry since September 2013. The organization lists Peter T Chang, Chief Medical Informatics Officer, as its authorized official.

NPPES Registry Identity

NPI1689000176
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTAMPA GENERAL MEDICAL GROUP INC
Location Address16011 TAMPA PALMS BLVD WTampa, FL 33647
Mailing AddressPo Box 1289Tampa, FL 33601-1289 · (813) 844-3956
Phone(813) 844-8100
Fax(813) 844-1106
Organization SubpartNo
Authorized OfficialPeter T ChangChief Medical Informatics Officer · (813) 844-3956
Enumeration DateSeptember 17, 2013
Last NPPES UpdateDecember 22, 20257 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1689000176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
16011 TAMPA PALMS BLVD W, Tampa, FL 33647
Open in Google Maps ↗

Other Names 1

Doing Business AsTgmg Tampa Palms

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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.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)

Tampa General Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

416

Medicare enrollment records show 416 clinicians reassign Medicare billing to Tampa General Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner171
Family Practice52
Internal Medicine39
General Surgery31
Clinical Psychologist26
Medical Oncology11
Radiation Oncology10
Gastroenterology9
19 other specialties67

Nearest to this location (20)

See all 416
Aneeta Joseph
Endocrinology
NPI 1396108916
16011 TAMPA PALMS BLVD W
Tampa, FL 33647
(813) 844-5551
✔ PECOS✔ Accepts MedicareSame address
Chelsea Pereira, APRN
Nurse Practitioner
NPI 1912510132
16011 TAMPA PALMS BLVD W
Tampa, FL 33647
(813) 844-8100
✔ PECOS✔ Accepts MedicareSame address
Shannon Stepp, APRN
Nurse Practitioner
NPI 1841694429
6206 COMMERCE PALMS DR
Tampa, FL 33647
(863) 644-2411
✔ PECOS✔ Accepts Medicare1.6 mi
Paul Beyer, DPM PA
Podiatry
NPI 1942238829
13349 N 56TH ST
Tampa, FL 33617
(813) 988-4801
✔ PECOS✔ Accepts Medicare2.2 mi
Christian Cruz Pico, M.D.
Surgical Oncology
NPI 1659514263
17416 BROOKSIDE TRACE CT
Tampa, FL 33647
(813) 660-6150
✔ PECOS✔ Accepts Medicare2.6 mi
Meira Pernicone, M.D.
General Surgery
NPI 1992824122
17416 BROOKSIDE TRACE CT.
Tampa, FL 33647
(813) 974-5275
✔ PECOS2.6 mi
Hillary Camp
Nurse Practitioner
NPI 1285216317
17416 BROOKSIDE TRACE CT
Tampa, FL 33647
(813) 844-4554
✔ PECOS✔ Accepts Medicare2.6 mi
Elizabeth Altenhofen
Nurse Practitioner
NPI 1932736725
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 457-3657
✔ PECOS✔ Accepts Medicare2.8 mi
Young Doo Chang, M.D.
Hospice/Palliative Care
NPI 1659514917
12902 USF MAGNOLIA DR.
Tampa, FL 33612
(813) 745-6853
✔ PECOS✔ Accepts Medicare2.8 mi
Autumn Davis, APRN
Nurse Practitioner
NPI 1780482190
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts Medicare2.8 mi
Lindsay Niccolai, PHD
Clinical Psychologist
NPI 1386313179
12902 USF MAGNOLIA DR
Tampa, FL 33612
(812) 592-1488
✔ PECOS✔ Accepts Medicare2.8 mi
Beth Pailes, ARNP
Nurse Practitioner
NPI 1578070868
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts Medicare2.8 mi
Eduardo Sotomayor, MD
Medical Oncology
NPI 1912912536
12902 USF MAGNOLIA DR MDC 44
Tampa, FL 33612
(813) 745-3980
✔ PECOS✔ Accepts Medicare2.8 mi
Nadine Fiorenza, MS, APRN, AGACNP-BC
Nurse Practitioner
NPI 1063043586
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts Medicare2.8 mi
Noor Al-Alusi, MD, MS
Internal Medicine
NPI 1518609163
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-7365
✔ PECOS✔ Accepts Medicare2.9 mi
Devora Fedrick
Nurse Practitioner
NPI 1699251959
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-4673
✔ PECOS✔ Accepts Medicare2.9 mi
Mayer Fishman, MD
Hematology/Oncology
NPI 1215952999
12902 USF MAGNOLIA DR GU PROGRAM
Tampa, FL 33612
(813) 745-8343
✔ PECOS✔ Accepts Medicare2.9 mi
Alexandra Ramos Rubildo, PSYD
Clinical Psychologist
NPI 1770397622
13515 LAKE TERRACE LN
Tampa, FL 33637
(813) 400-6038
✔ PECOS3.2 mi
Guillermo Donate, D.P.M.
Podiatry
NPI 1891800066
16350 BRUCE B DOWNS BLVD UNIT 46879
Tampa, FL 33647
(813) 994-0213
✔ PECOS✔ Accepts Medicare4.2 mi
Abigail Beard, MD
General Surgery
NPI 1821355579
12901 BRUCE B DOWNS BLVD MDC 41
Tampa, FL 33612
(813) 259-8510
✔ PECOS✔ Accepts Medicare4.9 mi
See all 416 clinicians

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 10D2196943

Tampa General Medical Group Inc · Tampa, FL
Expired · Oct 20, 2026
CLIA Number10D2196943
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorKaren Y. Reeves
Laboratory Phone(813) 394-1102
Laboratory LocationTampa General Medical Group Inc17416 Brookside Trace Ct, Tampa, FL 33647
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 Tampa General Medical Group Inc's NPI number?

The NPI number for Tampa General Medical Group Inc is 1689000176. It was assigned to this organization in the NPPES registry on September 17, 2013. The provider is doing business as TGMG Tampa Palms.

Where is Tampa General Medical Group Inc located?

Tampa General Medical Group Inc is located at 16011 Tampa Palms Blvd W, Tampa, FL 33647. The listed phone number is (813) 844-8100.

What is Tampa General Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tampa General Medical Group Inc enrolled in Medicare?

Yes. Tampa General Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tampa General Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 416 clinicians in 27 Medicare specialties reassign their Medicare billing to Tampa General Medical Group Inc. 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 (171), Family Practice (52) and Internal Medicine (39). Of these, 2 practice at this address and 58 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tampa General Medical Group Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Tampa General Medical Group Inc 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 Tampa General Medical Group Inc was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.