NPIMap

Organization Active NPI

Bay Area Primary Care Associates

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1104920826
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0039612 Issued in FL
Legal business name
BAY AREA PRIMARY CARE ASSOCIATES
Practice address
2123 W. Dr MLK Blvd, Suite 203
Tampa, FL 33607-6545
Phone
(813) 870-1600
Fax
(813) 673-8777
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Pallavi K Patel, M.D.NPI 1477663003
Title
Administrator
Phone
(813) 239-3262

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X ME0039612 FL Primary

Addresses

Primary practice location

2123 W. Dr MLK Blvd, Suite 203
Tampa, FL 33607-6545

Mailing address

PO Box 152534
Bay Area Primary Care Assoc. Inc
Tampa, FL 33684-2534
Phone (813) 239-3262

Other identifiers 1

IdentifierTypeStateIssuer
066613100MedicaidFL

National Provider Directory

National Provider Directory

Locations

2123 W Mlk Blvd
Ste 203
Tampa, FL 33607
Phone (813) 870-1600

150 E Medical Center Blvd
Ste B
Webster, TX 77598
Phone (281) 554-2846

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1104920826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152534",
            "address_2": "BAY AREA PRIMARY CARE ASSOC. INC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336842534",
            "telephone_number": "813-239-3262",
            "fax_number": "813-237-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W. DR MLK BLVD, SUITE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-870-1600",
            "fax_number": "813-673-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PRIMARY CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-239-3262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0039612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066613100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.