MIA ELISA BRANCH (MD) – Obstetrics & Gynecology Physician, NPI 1629008388
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 OBSTETRICS/GYNECOLOGY in FL
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Provider Addresses for MIA ELISA BRANCH (MD)
PO BOX 25317
TAMPA, FL 336225317
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Mailing
5002, West Lemon Street, Tampa, Hillsborough County, Florida, 33609, United States
TAMPA, FL 33609
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080618000763 | I | Obstetrics/Gynecology | FL | TBD |
| I20201118000799 | I | Obstetrics/Gynecology | GA | TBD |
| I20210106000975 | I | Obstetrics/Gynecology | LA | TBD |
| I20231214001376 | I | Obstetrics/Gynecology | DC | TBD |
| I20250214001393 | I | Obstetrics/Gynecology | AR | TBD |
| I20251208002916 | I | Obstetrics/Gynecology | MD | TBD |
| I20260212003689 | I | Obstetrics/Gynecology | NJ | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33622)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | SC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR |
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