Active NPI
Nephrology Consultants of Pinellas LLC
- Specialist
- Clearwater, FL
National Provider Identifier
1003837337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0034568
- Legal business name
- NEPHROLOGY CONSULTANTS OF PINELLAS LLC
- Practice address
- 617 Lakeview Rd
Suite C
Clearwater, FL 33756-3338 - Phone
- (727) 441-3724
- Fax
- (727) 442-2594
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frederick L Dewberry, MD
- Title
- Owner/President
- Phone
- (727) 441-3724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0034568 | FL | Primary |
Addresses
Primary practice location
617 Lakeview Rd
Suite C
Clearwater, FL 33756-3338
Mailing address
617 Lakeview Rd
Suite C
Clearwater, FL 33756-3338
Phone (727) 441-3724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2099105 | Nephrology Consultants of Pinellas | Certificate of waiver | Jul 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
1840 Mease Dr
Ste 407A
Safety Harbor, FL 34695
Phone (727) 712-0980
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Clearwater, FL
- NPI 1962421081
-
- Adult Health Nurse Practitioner
- Clearwater, FL
- NPI 1467681973
-
- Nephrology Physician
- Belleair, FL
- NPI 1902873623
-
- Family Nurse Practitioner
- St Petersburg, FL
- NPI 1376596791
-
- Nephrology Physician
- West Palm Beach, FL
- NPI 1811994296
-
- Adult Health Nurse Practitioner
- St Petersburg, FL
- NPI 1043274848
-
- Nephrology Physician
- Springdale, AR
- NPI 1619959228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1003837337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 LAKEVIEW RD",
"address_2": "SUITE C",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563338",
"telephone_number": "727-441-3724",
"fax_number": "727-442-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 LAKEVIEW RD",
"address_2": "SUITE C",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563338",
"telephone_number": "727-441-3724",
"fax_number": "727-442-2594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY CONSULTANTS OF PINELLAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "DEWBERRY",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "727-441-3724",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0034568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.