NPIMap

Organization Active NPI

Digestive Anesthesia Associates LLC

  • Anesthesiology Physician
  • St Petersburg, FL
National Provider Identifier
1003259433
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DIGESTIVE ANESTHESIA ASSOCIATES LLC
Practice address
5771 49TH St N
St Petersburg, FL 33709-2107
Phone
(888) 851-4642
NPI assigned
Apr 16, 2013
Last updated
Mar 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jayaprakash K. Kamath, MDNPI 1609831502
Title
Authorized Official
Phone
(277) 776-7565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X FL Primary

Addresses

Primary practice location

5771 49TH St N
St Petersburg, FL 33709-2107

Mailing address

PO Box 2334
Columbus, GA 31902-2334
Phone (888) 851-4642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130606000501 FL Part B Supplier - Clinic/Group Practice 6002054889 Receives reassigned benefits from 25 practitioners
Practice locations: Belleair, FL; St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

6094 14th St W
Ste 157
Bradenton, FL 34207

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1003259433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2334",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319022334",
            "telephone_number": "888-851-4642",
            "fax_number": "240-342-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092107",
            "telephone_number": "888-851-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE ANESTHESIA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "KAMATH",
        "authorized_official_first_name": "JAYAPRAKASH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "277-776-7565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.