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DR. SERELEE EDITHA ST CYR SULLIVAN MD
NPI 1891312401
Internal Medicine in Temple Terrace, FL

Active since June 30, 2020PECOS Enrolled
8727 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL 33637(813) 796-5400(813) 776-0079 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2023, Jul 28, 2023, Jun 2, 2023 and 1 more (4 updates tracked since 2020).

About Dr. Serelee Editha St Cyr Sullivan Md NPPES

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

DR. SERELEE EDITHA ST CYR SULLIVAN MD (NPI 1891312401) is an individual internal medicine provider in Temple Terrace, Florida, licensed in Florida (ME159637) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891312401
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SERELEE EDITHA ST CYR SULLIVANCredential: MD
Location Address8727 TEMPLE TERRACE HWYTemple Terrace, FL 33637-6700
Mailing Address8727 Temple Terrace HwyTemple Terrace, FL 33637-6700 · (813) 796-5400 · Fax (813) 776-0079
Phone(813) 796-5400
Fax(813) 776-0079
Sole ProprietorNo
Enumeration DateJune 30, 2020
Last NPPES UpdateAugust 16, 20234 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1891312401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME159637
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8727 TEMPLE TERRACE HWY, Temple Terrace, FL 33637
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Serelee Editha St Cyr Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Serelee St Cyr Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dedicated Senior Medical Center Of Florida, LLC
5.8 mi
Specialist
1901 FLETCHER AVENUE
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 348 clinicians in this Medicare group
NPI 1700393881 (305) 628-6117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33637 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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 7

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

LAXMIPRADHA CHANDRASEKAR MD
Family Medicine
8727 TEMPLE TERRACE HWY
TAMPA, FL 33637
Hillsborough County (813) 796-5400
MARIA ALEXANDRA CAPECCHI RODRIGUEZ
Nurse Practitioner (Family)
8727 TEMPLE TERRACE HWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 796-5400
DR. VYAS NARESH DAKE M.D.
Family Medicine
8727 TEMPLE TERRACE HWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 796-5400
DR. CHARLES ANTHONY ROSS M.D.
Family Medicine
8727 TEMPLE TERRACE HWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 796-5400
CLINTON DSOUZA
Family Medicine
8727 TEMPLE TERRACE HWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 796-5400
SANDRA E. DSOUZA DO
Family Medicine
8727 TEMPLE TERRACE HWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 796-5400
DEDICATED SENIOR MEDICAL CENTERS OF FLORIDA, LLC
Non-Pharmacy Dispensing Site
8727 TEMPLE TERRACE HWY
TAMPA, FL 33637
Hillsborough County (813) 796-5400

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 Serelee St Cyr Sullivan's NPI number?

The NPI number for Serelee St Cyr Sullivan is 1891312401. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Where is Serelee St Cyr Sullivan located?

Serelee St Cyr Sullivan practices at 8727 Temple Terrace Hwy, Temple Terrace, FL 33637. The listed phone number is (813) 796-5400.

What is Serelee St Cyr Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Serelee St Cyr Sullivan enrolled in Medicare?

Yes. Serelee St Cyr Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Serelee St Cyr Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serelee St Cyr Sullivan reassigns Medicare benefits to Dedicated Senior Medical Center Of Florida, LLC (Tampa, FL). The 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 Serelee St Cyr Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Serelee St Cyr Sullivan was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.