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DR. DAVID THOMAS CONNOLLY M.D.
NPI 1902225402
General Practice in Seminole, FL

Active since April 11, 2014PECOS EnrolledAccepts Medicare Assignment
7101 PARK ST, SEMINOLE, FL 33777(727) 397-1559(727) 391-0838 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. David Thomas Connolly M.d. NPPES

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

DR. DAVID THOMAS CONNOLLY M.D. (NPI 1902225402) is an individual general practice provider in Seminole, Florida, licensed in Florida (ACN1590) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1902225402
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DAVID THOMAS CONNOLLYCredential: M.D.
Location Address7101 PARK STSeminole, FL 33777-4632
Mailing Address6900 Tavistock Lakes Blvd Ste 300Orlando, FL 32827-7592 · (321) 332-6947 · Fax (407) 313-3081
Phone(727) 397-1559
Fax(727) 391-0838
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateApril 11, 2014
Last NPPES UpdateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1902225402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1590
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7101 PARK ST, Seminole, FL 33777
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Thomas Connolly M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092931519
PECOS Enrollment IDI20240125004542
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 David Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeview Healthcare System, LLC
92 mi
Internal Medicine
10250 SE 167TH PLACE ROAD, SUITE 5
Summerfield, FL 34491
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
NPI 1841484979 (352) 307-9925

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services14 patients

Other Providers at the Same Location NPPES 5

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

TIMOTHY JONES DO
Family Medicine
7101 PARK ST
SEMINOLE, FL 33777
Pinellas County (727) 397-1559
MRS. SHARILYN ROSE CHAPPELL PA C
Physician Assistant
7101 PARK ST
SEMINOLE, FL 33777
Pinellas County (727) 397-1559
MASSIEL CRISTINA DOS SANTOS AGUIRRE PA-C
Physician Assistant
7101 PARK ST
SEMINOLE, FL 33777
Pinellas County (727) 397-1559
JENNIFER ANN HYER ARNP
Nurse Practitioner (Family)
7101 PARK ST
SEMINOLE, FL 33777
Pinellas County (727) 397-1559
ORLANDO FAMILY PHYSICIANS, LLC
Family Medicine
7101 PARK ST
SEMINOLE, FL 33777
Pinellas County (727) 397-1559

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 David Connolly's NPI number?

The NPI number for David Connolly is 1902225402. It was assigned to this individual provider in the NPPES registry on April 11, 2014.

Where is David Connolly located?

David Connolly practices at 7101 Park St, Seminole, FL 33777. The listed phone number is (727) 397-1559.

What is David Connolly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is David Connolly enrolled in Medicare?

Yes. David Connolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for David Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Connolly reassigns Medicare benefits to Lakeview Healthcare System, LLC (Summerfield, 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 David Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Connolly accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list David Connolly 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 David Connolly was last updated on January 2, 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.