Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rory Michael Shallis, MD

Individual provider Hematology & Oncology Physician · NPI 1669884383

Rory Michael Shallis, MD is a Hematology/Oncology in Tampa, Florida. Graduated from Rutgers, Robert Woood Johnson Medical School in 2014, 12 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
12
Trained at
Rutgers, Robert Woood Johnson Medical School
Licensed in
FL
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 745-7365
Fax: (813) 449-8618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence ME171810 (FL)

Record details

NPI number1669884383
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 29, 2014
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing addressPo Box 198441, Atlanta, GA 30384-8441

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolRUTGERS, ROBERT WOOOD JOHNSON MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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