Myrtle Ridge Primary Care, P.A
About this NPIWhat this record shows.
NPI 1619504354 is registered to Myrtle Ridge Primary Care, P.A, a healthcare organisation classified as "General Practice" and located at 1539 Dale Mabry Hwy Ste 102 in Lutz, Florida. The organisation's authorised official is Yudaisy Mogena Padron. The organisation has been enumerated in the NPI registry since 2020.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20201001001641Clinic/Group PracticeFL
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Myrtle Ridge Primary Care, P.A accepts. To confirm in-network status with your specific health plan, contact Myrtle Ridge Primary Care, P.A directly at (813) 909-7102.
Frequently asked
Yes. NPI 1619504354 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
General Practice is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (813) 909-7102.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Myrtle Ridge Primary Care, P.A is a Type-2 organisational NPI.