Individual provider Active NPI

Anthony Ngo, D.O

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1033316815
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10771 Issued in FL
Practice address
2086 Gulf to Bay Blvd
Clearwater, FL 33765-3714
Phone
(727) 462-0100
Fax
(727) 462-0177
NPI assigned
Jun 27, 2007
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10771 FL Primary

Addresses

Primary practice location

2086 Gulf to Bay Blvd
Clearwater, FL 33765-3714

Mailing address

2086 Gulf to Bay Blvd
Clearwater, FL 33765-3714
Phone (727) 462-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001454 FL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 6901099696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandbay Family Practice LLCGroup PAC ID 5597958280, 3 clinicians

Practice addresses (Care Compare)

7599 Park Blvd No
Suite 300
Pinellas Park, FL 33781-2904
Phone (727) 999-2076

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Vistacare Pharmacy Services 2, LLC CurrentSince Dec 19, 2016 Accepting new patients
Sandbay Family Practice, L.L.C. CurrentSince Sep 1, 2010 Accepting new patients
Healthnow Urgent Care, L.L.C. CurrentSince Sep 1, 2010 Accepting new patients

Locations

2086 Gulf To Bay Blvd
Clearwater, FL 33765
Phone (727) 462-0010

7599 Park Blvd N
Ste 300
Pinellas Park, FL 33781
Phone (727) 462-0100

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGBABA/Endpoint/DGBABA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1033316815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653714",
            "telephone_number": "727-462-0100",
            "fax_number": "727-462-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653714",
            "telephone_number": "727-462-0100",
            "fax_number": "727-462-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "ANTHONY",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.