The Performance Lab - Medicare in Tampa, FL

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The Performance Lab is a medicare enrolled "Clinic/center - Multi-specialty" provider in Tampa, Florida. Their current practice location is 6920 N Dale Mabry Hwy, Tampa, Florida. You can reach out to their office (for appointments etc.) via phone at (813) 212-1120.

The Performance Lab is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. The Performance Lab is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1356166391.

Contact Information

The Performance Lab
6920 N Dale Mabry Hwy,
Tampa, FL 33614-3931
(813) 212-1120
(813) 412-8404

Map and Direction




Healthcare Provider's Profile

Full NameThe Performance Lab
TypeFacility
SpecialityClinic/center - Multi-specialty
Location6920 N Dale Mabry Hwy, Tampa, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356166391
  • Provider Enumeration Date: 11/15/2024
  • Last Update Date: 09/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2769951136
  • Enrollment ID: O20260514002657

Medical Identifiers

Medical identifiers for The Performance Lab such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356166391NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207QS0010XFamily Medicine - Sports Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Performance Lab acts as a billing entity for following providers:
Provider NameGabriel A Gonzales Portillo
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1811992357
PECOS PAC ID: 4385676824
Enrollment ID: I20051004000284
Provider NameSharad Ishwerbhai Patel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1326046962
PECOS PAC ID: 0446290118
Enrollment ID: I20070428000109
Provider NameDavid Nolen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275003089
PECOS PAC ID: 2264779867
Enrollment ID: I20190118002785
Provider NameMarissa R Mccarthy
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1437322294
PECOS PAC ID: 8527220839
Enrollment ID: I20200511001026
Provider NameKate Elizabeth Turchin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457078545
PECOS PAC ID: 9032586326
Enrollment ID: I20221028001829
Provider NameElissa L Pally
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1730616814
PECOS PAC ID: 2163897398
Enrollment ID: I20230331000854
Provider NameKareem Qaisi
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1023647377
PECOS PAC ID: 4385091081
Enrollment ID: I20231116001967
Provider NameMiguel A Lorenz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306194774
PECOS PAC ID: 0648428037
Enrollment ID: I20260515000501

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. The Performance Lab is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Performance Lab
6920 N Dale Mabry Hwy,
Tampa, FL 33614-3931

Ph: (813) 212-1120		The Performance Lab
6920 N Dale Mabry Hwy,
Tampa, FL 33614-3931

Ph: (813) 212-1120

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.