NPIMap

Organization Active NPI

Pinellas Hematology and Oncology PA

  • Hematology & Oncology Physician
  • St Petersburg, FL
National Provider Identifier
1114009651
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME0066436 Issued in FL
Legal business name
PINELLAS HEMATOLOGY AND ONCOLOGY PA
Practice address
5000 Park St N
Suite 1017
St Petersburg, FL 33709-2221
Phone
(727) 344-6569
Fax
(727) 384-4388
NPI assigned
Oct 20, 2006
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Mrs. Pratibha Kirit Desai, MDNPI 1861488454
Title
Owner
Phone
(727) 344-6569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X ME0066436 FL Primary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X ME0093983 FL

Addresses

Primary practice location

5000 Park St N
Suite 1017
St Petersburg, FL 33709-2221

Mailing address

5000 Park St N
Suite 1017
St Petersburg, FL 33709-2221
Phone (727) 344-6569

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051007000260 FL Part B Supplier - Clinic/Group Practice 7719902980 Receives reassigned benefits from 4 practitioners
Practice locations: Bradenton, FL; Brandon, FL; Clearwater, FL; Hudson, FL; Largo, FL; Saint Petersburg, FL; Sarasota, FL; St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

300 Riverside Dr E
Bradenton, FL 34208
Phone (813) 747-4661

300 Riverside Dr E
Ste 3300
Bradenton, FL 34208
Phone (941) 405-1170

6555 Cortez Rd W
Bradenton, FL 34210
Phone (813) 278-5062

13733 Office Park Ct
Ste A
Hudson, FL 34667
Phone (727) 862-2580

5000 Park St N
St Petersburg, FL 33709
Phone (727) 544-5446

5000 Park St N
Ste 1017
St Petersburg, FL 33709
Phone (727) 344-6570

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1114009651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N",
            "address_2": "SUITE 1017",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092221",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N",
            "address_2": "SUITE 1017",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092221",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELLAS HEMATOLOGY AND ONCOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "PRATIBHA",
        "authorized_official_middle_name": "KIRIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-344-6569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0066436",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0093983",
            "primary": false
        }
    ],
    "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 Jul 8, 2010; 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.