ANTHONY ROOSEVELT III WASHINGTON (M.D.) – Family Medicine Physician, NPI 1093002768

ANTHONY ROOSEVELT III WASHINGTON (M.D.) is a healthcare provider. based in Tampa, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 64989 (MN). The NPI Number for ANTHONY ROOSEVELT III WASHINGTON (M.D.) is 1093002768

Main info

Male
15 Years Of Experience
Name
ANTHONY ROOSEVELT III WASHINGTON (M.D.)
NPI
1093002768
Phone
(813) 749-0167
Address
13608 W HILLSBOROUGH AVE
Enumeration Date
1 July 2011
Last Update Date
20 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
7517186695
Group Practice PAC ID
7618035304
Professional Enrollment ID
I20200610002434
Address ID
FL346842630PA2655XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:14State licenses:5Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for ANTHONY ROOSEVELT III WASHINGTON (M.D.)

  • 13608 W HILLSBOROUGH AVE

    TAMPA, FL 336359638

    Phone: (813) 749-0167

    Type: Mailing

  • 559 Capitol Blvd

    Saint Paul, MN 551032101

    Phone: (651) 326-2400

    Type: Location

  • 3908 Flatiron Loop Unit 101

    Wesley Chapel, FL 335447828

    Phone: (813) 779-6303

    Fax: (888) 977-1998

    Type: Location

  • 123 Medical Center Dr Ste 600

    Brunswick, ME 040112652

    Phone: (207) 373-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-01-12 • Largest payer in this snapshot: ViiV Healthcare Company ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ViiV Healthcare Company$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140923000998IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4318$0
View full utilization report →

Insurance plans in this area (ZIP 33635)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618035304View full group profile
NameSpecialtyState
Family PracticeFL
Family Practice, General PracticeFL
Nurse PractitionerFL
Internal Medicine, Geriatric MedicineFL
Internal MedicineFL
Family Practice, General PracticeFL
Nurse PractitionerFL
Internal MedicineFL
Family PracticeFL
Internal MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm ANTHONY ROOSEVELT III WASHINGTON (M.D.)'s NPI?
Yes. ANTHONY ROOSEVELT III WASHINGTON (M.D.) is listed with NPI 1093002768 in the public NPI dataset.
Does the file indicate ANTHONY ROOSEVELT III WASHINGTON (M.D.) is practicing under active NPI?
Directory data currently reports ANTHONY ROOSEVELT III WASHINGTON (M.D.) as active.
What is ANTHONY ROOSEVELT III WASHINGTON (M.D.) best known for clinically?
Directory data describes ANTHONY ROOSEVELT III WASHINGTON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does ANTHONY ROOSEVELT III WASHINGTON (M.D.) serve?
ANTHONY ROOSEVELT III WASHINGTON (M.D.)'s listing highlights Tampa, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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