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LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA
NPI 1891556049
Hospitalist in Brooksville, FL

Active since January 16, 2024
12440 CORTEZ BLVD, BROOKSVILLE, FL 34613(913) 549-3884 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2024, Aug 1, 2024, Jul 2, 2024 (3 updates tracked since 2024).

About Liveactive Multispecialty Physician Group Tampa NPPES

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

LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA (NPI 1891556049) is a healthcare organization registered as a hospitalist in Brooksville, Florida and active in the NPI registry since January 2024. The organization lists Shane Brethowr, Ceo/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1891556049
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameLIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC
Location Address12440 CORTEZ BLVDBrooksville, FL 34613-2628
Mailing AddressPo Box 1269Bellevue, NE 68005-1269
Phone(913) 549-3884
Organization SubpartNo
Authorized OfficialShane BrethowrCeo/authorized Official · (913) 549-3884
Enumeration DateJanuary 16, 2024
Last NPPES UpdateSeptember 14, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2024
✔ NPI 1891556049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X
12440 CORTEZ BLVD, Brooksville, FL 34613
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Other Names 1

Other NameLiveactive Multispecialty Physician Group Tampa

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liveactive Multispecialty Physician Group Tampa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Liveactive Multispecialty Physician Group Tampa, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jose Perez-Montalvo, MD
Internal Medicine
NPI 1851721963
1507 S TUTTLE AVE
Sarasota, FL 34239
(301) 722-0484
✔ PECOS✔ Accepts Medicare83 mi
Haseeb Ahmed, DO
Internal Medicine
NPI 1972701571
6650 W 110TH ST STE 220
Overland Park, KS 66211
(913) 549-3884
✔ PECOS✔ Accepts Medicare999 mi

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

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 Liveactive Multispecialty Physician Group Tampa LLC's NPI number?

The NPI number for Liveactive Multispecialty Physician Group Tampa LLC is 1891556049. It was assigned to this organization in the NPPES registry on January 16, 2024. The provider is also known as Liveactive Multispecialty Physician Group Tampa.

Where is Liveactive Multispecialty Physician Group Tampa LLC located?

Liveactive Multispecialty Physician Group Tampa LLC is located at 12440 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (913) 549-3884.

What is Liveactive Multispecialty Physician Group Tampa LLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Liveactive Multispecialty Physician Group Tampa LLC enrolled in Medicare?

Yes. Liveactive Multispecialty Physician Group Tampa LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liveactive Multispecialty Physician Group Tampa LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Liveactive Multispecialty Physician Group Tampa LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Liveactive Multispecialty Physician Group Tampa LLC was last updated on September 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.