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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HEIRA PROVIDER GROUP PA
NPI 1801796511
Family Medicine in Tampa, FL

Active since November 06, 2026
4830 W KENNEDY BLVD, TAMPA, FL 33609(216) 243-6887 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Heira Provider Group Pa NPPES

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

HEIRA PROVIDER GROUP PA (NPI 1801796511) is a healthcare organization registered as a family medicine in Tampa, Florida and active in the NPI registry since November 2026. The organization lists Vikram Bakhru, President, as its authorized official.

NPPES Registry Identity

NPI1801796511
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEIRA PROVIDER GROUP PA
Location Address4830 W KENNEDY BLVDTampa, FL 33609-2564
Mailing Address4830 W Kennedy Blvd Ste 600Tampa, FL 33609-2584 · (216) 243-6887
Phone(216) 243-6887
Organization SubpartNo
Authorized OfficialVikram BakhruPresident · (216) 243-6887
Enumeration DateNovember 6, 2026
NPPES CertifiedNovember 6, 2026
✔ NPI 1801796511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4830 W KENNEDY BLVD, Tampa, FL 33609
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

KERRIA PORTER
Technician, Pathology (Phlebotomy)
4830 W KENNEDY BLVD
TAMPA, FL 33609
Hillsborough County (239) 336-4586
KATRINA RILEY
Nurse Practitioner (Acute Care)
4830 W KENNEDY BLVD, #440
TAMPA, FL 33609
Hillsborough County (813) 410-6679
INTACT PATHWAYS, INC.
Specialist/Technologist, Other (Electroneurodiagnostic)
4830 W KENNEDY BLVD, SUITE 600
TAMPA, FL 33609
Hillsborough County (855) 694-6626
MS. TINA M TAYLOR ARNP-C
Nurse Practitioner
4830 W KENNEDY BLVD, SUITE 600
TAMPA, FL 33609
Hillsborough County (813) 498-0260
DR. GARRETT B GAUSE I M.D.
Family Medicine
4830 W KENNEDY BLVD, STE 440
TAMPA, FL 33609
Hillsborough County (813) 286-8100
PSYCHSHIFT, LLC
Social Worker (Clinical)
4830 W KENNEDY BLVD
TAMPA, FL 33609
Hillsborough County (304) 654-7557
BRAVE HEARTS CARE SERVICES FL LLC
Home Health
4830 W KENNEDY BLVD
TAMPA, FL 33609
Hillsborough County (626) 551-9471
ELIZABETH HARDEN
Counselor (Mental Health)
4830 W KENNEDY BLVD, SUITE 600
TAMPA, FL 33609
Hillsborough County (813) 600-7929

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 Heira Provider Group PA's NPI number?

The NPI number for Heira Provider Group PA is 1801796511. It was assigned to this organization in the NPPES registry on November 6, 2026.

Where is Heira Provider Group PA located?

Heira Provider Group PA is located at 4830 W Kennedy Blvd, Tampa, FL 33609. The listed phone number is (216) 243-6887.

What is Heira Provider Group PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Heira Provider Group PA was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.