NEW TAMPA MEDICAL CLINIC LLC
NPI 1962686931
Internal Medicine in Tampa, FL

Active since December 26, 2007CLIA 10D1044981 · Waiver
20431 BRUCE B DOWNS BLVD, TAMPA, FL 33647(813) 994-9995(813) 994-8019 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Tampa Medical Clinic Llc NPPES

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

NEW TAMPA MEDICAL CLINIC LLC (NPI 1962686931) is a healthcare organization registered as an internal medicine in Tampa, Florida and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Suvarna Nomula, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962686931
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNEW TAMPA MEDICAL CLINIC LLC
Location Address20431 BRUCE B DOWNS BLVDTampa, FL 33647-2759
Mailing Address20431 Bruce B Downs BlvdTampa, FL 33647-2759 · (813) 994-9995 · Fax (813) 994-8019
Fax(813) 994-8019
Organization SubpartNo
Authorized OfficialSuvarna NomulaCeo · (813) 994-9995
Enumeration DateDecember 26, 2007
Last NPPES UpdateApril 19, 2013
NPI 1962686931 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 · ME85978
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.
20431 BRUCE B DOWNS BLVD, Tampa, FL 33647

Other Identifiers 2

Medicare PIN62684YFL
Medicare UPINH55804FL

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

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 10D1044981

New Tampa Medical Clinic Inc · Tampa, FL
Active · expires Sep 1, 2027
CLIA Number10D1044981
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorSuvarna Nomula MD
Laboratory Phone(813) 994-9995
Laboratory LocationNew Tampa Medical Clinic Inc20431 Bruce B Downs Blvd, Tampa, FL 33647
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
20431 BRUCE B DOWNS BLVD, NEW TAMPA MEDICAL CLINIC
TAMPA, FL 33647

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 New Tampa Medical Clinic LLC's NPI number?

The NPI number for New Tampa Medical Clinic LLC is 1962686931. It was assigned to this organization in the NPPES registry on December 26, 2007.

Where is New Tampa Medical Clinic LLC located?

New Tampa Medical Clinic LLC is located at 20431 Bruce B Downs Blvd, Tampa, FL 33647. The listed phone number is (813) 994-9995.

What is New Tampa Medical Clinic LLC's specialty?

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

Does New Tampa Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1044981) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Tampa Medical Clinic LLC was last updated on April 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.