TLC FAMILY MEDICAL & REHAB CENTER
NPI 1699875096
Family Medicine in Tampa, FL
About Tlc Family Medical & Rehab Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TLC FAMILY MEDICAL & REHAB CENTER (NPI 1699875096) is a healthcare organization registered as a family medicine in Tampa, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Jun H Kim, Office Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Tlc Family Medical & Rehab Center 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 Tlc Family Medical & Rehab Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. 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.
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 10D0973756
Jin M Kim Do Pa/Family Medical Center · Tampa, FLFrequently 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 Jin M Kim D O P A's NPI number?
The NPI number for Jin M Kim D O P A is 1699875096. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Tlc Family Medical & Rehab Center.
Where is Jin M Kim D O P A located?
Jin M Kim D O P A is located at 10205 W Hillsborough Ave, Tampa, FL 33615. The listed phone number is (813) 884-2300.
What is Jin M Kim D O P A's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jin M Kim D O P A enrolled in Medicare?
Yes. Jin M Kim D O P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jin M Kim D O P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jin M Kim D O P A, in Family Practice and Physical Therapist in Private Practice. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jin M Kim D O P A hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0973756) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jin M Kim D O P A accept?
Health plans from AvMed list Jin M Kim D O P A 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 Jin M Kim D O P A was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tlc Family Medical & Rehab Center · NPI 1699875096
Family Medicine organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1699875096 (Entity type: Organization)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Jin M Kim D O P A
- **Organization subpart:** No
- **Authorized official:** Jun Kim, OFFICE ADMINISTRATOR
## Practice location
- **Address:** 10205 W HILLSBOROUGH AVE, Tampa, FL 33615-3671
- **Phone:** (813) 884-2300 · **Fax:** (813) 884-2390
## 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: Physical Therapist in Private Practice (2), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699875096) · Data from the CMS NPPES public registry.