OBSERVATION MEDICAL GROUP LLC
NPI 1952763682
Emergency Medicine in Tampa, FL

Q: What is Observation Medical Group LLC's NPI number?

The NPI number for Observation Medical Group LLC is 1952763682. It was assigned to this organization in the NPPES registry on March 22, 2016.

Q: What is Observation Medical Group LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since March 22, 2016

3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 870-4000(386) 274-7801 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Observation Medical Group Llc NPPES

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

OBSERVATION MEDICAL GROUP LLC (NPI 1952763682) is a healthcare organization registered as an emergency medicine in Tampa, Florida and active in the NPI registry since March 2016. The organization lists William E Mcconnell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952763682

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameOBSERVATION MEDICAL GROUP LLC

Location Address3001 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6307

Mailing AddressPo Box 10855Daytona Beach, FL 32120-0855 · (386) 274-7800 · Fax (386) 274-7801

Phone(813) 870-4000

Fax(386) 274-7801

Organization SubpartNo

Authorized OfficialWilliam E McconnellCeo · (813) 874-5707

Enumeration DateMarch 22, 2016

Last NPPES UpdateApril 5, 2016

✔ NPI 1952763682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3001 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607

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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)

Observation Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

156

Medicare enrollment records show 156 clinicians reassign Medicare billing to Observation Medical Group LLC, which bills Medicare for the services they deliver. Of these, 25 practice at this address and 87 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Emergency Medicine98

Nurse Practitioner44

Pediatric Medicine13

Internal Medicine1

Nearest to this location (20)

See all 156

Andrew Alexander, MD

Emergency Medicine

NPI 1336181312

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 874-5707

✔ PECOS✔ Accepts MedicareSame address

Eric Castellucci, MD

Emergency Medicine

NPI 1316989437

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Katrina Cordero, DO

Emergency Medicine

NPI 1376785261

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Juan Gallego, M.D.

Emergency Medicine

NPI 1144422379

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Jami Gibson, M.D.

Pediatric Medicine

NPI 1861572182

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Joseph Hild, M.D.

Emergency Medicine

NPI 1043521123

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Timothy Holt, DO

Emergency Medicine

NPI 1467498212

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOSSame address

Matthew Howell, MD

Emergency Medicine

NPI 1235137274

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Jakub Kahl, MD

Emergency Medicine

NPI 1932138146

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Robert Katz, M.D.

Emergency Medicine

NPI 1467401406

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Jennifer Locke, M.D.

Emergency Medicine

NPI 1710133673

3001 WEST DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Maximo Luque, MD

Emergency Medicine

NPI 1114963634

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOSSame address

Russell Radtke, M.D.

Emergency Medicine

NPI 1841406071

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOSSame address

James Robelli, MD

Emergency Medicine

NPI 1134169089

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Michael Sanders, M.D.

Emergency Medicine

NPI 1609196864

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Steven Schmidt, MD

Emergency Medicine

NPI 1982612214

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Capri Simms, D.O.

Emergency Medicine

NPI 1124265277

3001 W DR MARTIN LUTHER KING JR BLVD DEPARTMENT OF EMERGENCY MEDICINE
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Jaime Thompson, M.D.

Emergency Medicine

NPI 1417112723

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-4000

✔ PECOS✔ Accepts MedicareSame address

Stefanie Tucker

Nurse Practitioner

NPI 1225537699

3001 W DR MLK BLVD
Tampa, FL 33607

(813) 874-5707

✔ PECOS✔ Accepts MedicareSame address

David Tulsiak, MD

Emergency Medicine

NPI 1295767762

3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607

(813) 870-1100

✔ PECOS✔ Accepts MedicareSame address

See all 156 clinicians

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 Observation Medical Group LLC's NPI number?

The NPI number for Observation Medical Group LLC is 1952763682. It was assigned to this organization in the NPPES registry on March 22, 2016.

Where is Observation Medical Group LLC located?

Observation Medical Group LLC is located at 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607. The listed phone number is (813) 870-4000.

What is Observation Medical Group LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Observation Medical Group LLC enrolled in Medicare?

Yes. Observation Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Observation Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 156 clinicians in 4 Medicare specialties reassign their Medicare billing to Observation Medical Group 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. The largest specialties are Emergency Medicine (98), Nurse Practitioner (44) and Pediatric Medicine (13). Of these, 25 practice at this address and 87 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Observation Medical Group LLC was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.