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TRINITY DOCTORS GROUP PA
NPI 1952564726
Family Medicine - Adult Medicine in New Port Richey, FL

Active since July 02, 2008
8133 STATE ROAD 54, NEW PORT RICHEY, FL 34655(727) 372-3750(727) 372-3754 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2019, Jan 18, 2018 (2 updates tracked since 2018).

About Trinity Doctors Group Pa NPPES

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

TRINITY DOCTORS GROUP PA (NPI 1952564726) is a healthcare organization registered as an adult medicine in New Port Richey, Florida and active in the NPI registry since July 2008. The organization lists John Dean Ibrahim, President, as its authorized official.

NPPES Registry Identity

NPI1952564726
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameTRINITY DOCTORS GROUP PA
Location Address8133 STATE ROAD 54New Port Richey, FL 34655-3000
Mailing Address8133 State Road 54New Port Richey, FL 34655-3000 · (727) 372-3750 · Fax (727) 372-3754
Phone(727) 372-3750
Fax(727) 372-3754
Organization SubpartNo
Authorized OfficialJohn Dean IbrahimPresident · (727) 372-3750
Enumeration DateJuly 2, 2008
Last NPPES UpdateApril 3, 20192 updates tracked since enumeration
✔ NPI 1952564726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · ME101502
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
8133 STATE ROAD 54, New Port Richey, FL 34655
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Trinity Doctors Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Trinity Doctors Group PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

John Ibrahim, M.D.
Family Practice
NPI 1669555470
8133 STATE ROAD 54
New Port Richey, FL 34655
(727) 372-3750
✔ PECOS✔ Accepts MedicareSame address
Diana Hatton, APRN
Nurse Practitioner
NPI 1891357323
8133 STATE ROAD 54
New Port Richey, FL 34655
(727) 372-3750
✔ PECOS✔ Accepts MedicareSame address
Ronald Brunk, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1215561238
820 N MAIN ST
Crossville, TN 38555
(931) 250-5230
✔ PECOS552 mi

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 10D1090408

Trinity Doctors Group PA · New Port Richey, FL
Expired · Oct 8, 2026
CLIA Number10D1090408
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorJohn D. Ibrahim MD
Laboratory Phone(727) 372-3750
Laboratory LocationTrinity Doctors Group PA8133 State Road 54, New Port Richey, FL 34655
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Trinity Doctors Group PA's NPI number?

The NPI number for Trinity Doctors Group PA is 1952564726. It was assigned to this organization in the NPPES registry on July 2, 2008.

Where is Trinity Doctors Group PA located?

Trinity Doctors Group PA is located at 8133 State Road 54, New Port Richey, FL 34655. The listed phone number is (727) 372-3750.

What is Trinity Doctors Group PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Trinity Doctors Group PA enrolled in Medicare?

Yes. Trinity Doctors Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trinity Doctors Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Trinity Doctors Group PA, in Family Practice and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Trinity Doctors Group PA accept?

Health plans from AvMed list Trinity Doctors Group PA 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 Trinity Doctors Group PA was last updated on April 3, 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.