Organization Active NPI

Tampa Bay Anesthesia, LLC

  • Anesthesiology Physician
  • St Petersburg, FL
National Provider Identifier
1154826873
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TAMPA BAY ANESTHESIA, LLC
Practice address
6321 54TH Ave N
St Petersburg, FL 33709-1703
Phone
(727) 548-6100
NPI assigned
Mar 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Kazi HassanNPI 1801909296
Title
MBR
Phone
(727) 548-6100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

6321 54TH Ave N
St Petersburg, FL 33709-1703

Mailing address

6321 54TH Ave N
St Petersburg, FL 33709-1703

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181210002111 FL Part B Supplier - Clinic/Group Practice 8022352541 Receives reassigned benefits from 9 practitioners
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1154826873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "KAZI",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "727-548-6100"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 26, 2018; 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.