NPIMap

Organization Active NPI

Comprehensive Hematology Oncology LLC

  • Hematology & Oncology Physician
  • St Petersburg, FL
National Provider Identifier
1144786906
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
COMPREHENSIVE HEMATOLOGY ONCOLOGY LLC
Practice address
5000 Park St N Ste 1017
Saint Petersburg, FL 33709-2236
Phone
(727) 344-6570
Fax
(727) 384-4388
NPI assigned
Feb 18, 2019
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
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 connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0000X
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X

Addresses

Primary practice location

5000 Park St N Ste 1017
Saint Petersburg, FL 33709-2236

Mailing address

3611 Little Rd
Trinity, FL 34655-1813
Phone (727) 312-4300

Other practice location 1

2227 US 27 S Ste 102
Sebring, FL 33870-4936
Phone (833) 421-0312

Other practice location 2

3611 Little Rd
Trinity, FL 34655-1813
Phone (727) 312-4300

Other practice location 3

603 7th St S Ste 560
Saint Petersburg, FL 33701-4732
Phone (727) 820-7714

Other practice location 4

4114 Woodlands Pkwy Ste 301
Palm Harbor, FL 34685-3450
Phone (727) 344-6569

Other practice location 5

1258 W Bay Dr Ste G
Largo, FL 33770-2245
Phone (727) 344-6569

Other practice location 6

3000 US Highway 19
Holiday, FL 34691-2635
Phone (727) 344-6569

Other practice location 7

401 Vonderburg Dr
Brandon, FL 33511-5963
Phone (813) 684-2339

Other practice location 8

12645 New Brittany Blvd Ste 15
Fort Myers, FL 33907-3631
Phone (239) 935-5556

Other practice location 9

3501 Cortez Road North
Suite a
Bradenton, FL 34208
Phone (727) 344-6569

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190307000878 FL Part B Supplier - Clinic/Group Practice 5395084461 Receives reassigned benefits from 36 practitioners
Practice locations: Trinity, FL; St Petersburg, FL; Sebring, FL; Palm Harbor, FL; Largo, FL; Holiday, FL; Bradenton, FL; Brandon, FL…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2037222Comprehensive Hematology Oncology LLC3611 Little Rd, Trinity, FL 34655AccreditationApr 3, 2028
10D2110532Comprehensive Hematology Oncology, LLC603 7TH St S Ste 560, Saint Petersburg, FL 33701ComplianceDec 27, 2026
10D2152843Comprehensive Hematology Oncology, LLC4114 Woodlands Pkwy Suite 301, Palm Harbor, FL 34685AccreditationJul 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Hematology Oncology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

12645 New Brittany Blvd
Ste 15
Fort Myers, FL 33907
Phone (239) 277-9377

1258 West Bay Dr
Ste B
Largo, FL 33770

4114 Woodlands Pkwy
Palm Harbor, FL 34685

2227 US 27 S
Ste 102
Sebring, FL 33870
Phone (833) 421-0312

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1144786906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551813",
            "telephone_number": "727-312-4300",
            "fax_number": "727-312-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N STE 1017",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337092236",
            "telephone_number": "727-344-6570",
            "fax_number": "727-384-4388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2227 US 27 S Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338704936",
            "country_code": "US",
            "telephone_number": "833-421-0312",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3611 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551813",
            "country_code": "US",
            "telephone_number": "727-312-4300",
            "fax_number": "727-312-4335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 7th St S Ste 560",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337014732",
            "country_code": "US",
            "telephone_number": "727-820-7714",
            "fax_number": "727-202-6455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4114 Woodlands Pkwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346853450",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1258 W Bay Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702245",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 US Highway 19",
            "address_purpose": "LOCATION",
            "city": "Holiday",
            "state": "FL",
            "postal_code": "346912635",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Vonderburg Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115963",
            "country_code": "US",
            "telephone_number": "813-684-2339",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12645 New Brittany Blvd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339073631",
            "country_code": "US",
            "telephone_number": "239-935-5556",
            "fax_number": "239-935-5573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 CORTEZ ROAD NORTH",
            "address_2": "SUITE A",
            "address_purpose": "LOCATION",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "country_code": "US",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE HEMATOLOGY ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "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_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "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 Jun 20, 2024; 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.

Verify at the official NPI Registry.