Active NPI
St Francis Sleep Allergy and Lung Institute LLC
- Pulmonary Disease Physician
- Clearwater, FL
National Provider Identifier
1164553897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME60749
- Legal business name
- ST FRANCIS SLEEP ALLERGY AND LUNG INSTITUTE LLC
- Practice address
- 802 N Belcher Rd
Clearwater, FL 33765-2103 - Phone
- (727) 447-3000
- Fax
- (727) 210-4600
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francis James Averill, M.D.
- Title
- President
- Phone
- (727) 447-3000
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME60749 | FL | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | ME60749 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME60749 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME60749 | FL | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ME60749 | FL |
Addresses
Primary practice location
802 N Belcher Rd
Clearwater, FL 33765-2103
Mailing address
802 N Belcher Rd
Clearwater, FL 33765-2103
Phone (727) 447-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071030000164 | FL | Part B Supplier - Clinic/Group Practice | 6800983420 |
Receives reassigned benefits from 6 practitioners Practice locations: Clearwater, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2018924 | St Francis Sleep Allergy and Lung | Certificate of waiver | Jan 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
802 N Belcher Rd
Clearwater, FL 33765
Phone (727) 447-3000
804 N Belcher Rd
Clearwater, FL 33765
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Clearwater, FL
- NPI 1629005020
FL, Pulmonary Disease
-
- Nurse Practitioner
- Hudson, FL
- NPI 1962482315
-
- Nurse Practitioner
- Clearwater, FL
- NPI 1710004957
-
- Nurse Practitioner
- Saint Petersburg, FL
- NPI 1194291377
-
- Adult Medicine Physician
- Iron River, MI
- NPI 1124241666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191974400000",
"number": "1164553897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 N BELCHER RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337652103",
"telephone_number": "727-447-3000",
"fax_number": "727-210-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 N BELCHER RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337652103",
"telephone_number": "727-447-3000",
"fax_number": "727-210-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST FRANCIS SLEEP ALLERGY AND LUNG INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "AVERILL",
"authorized_official_first_name": "FRANCIS",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-447-3000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME60749",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "FL",
"license": "ME60749",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME60749",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME60749",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "FL",
"license": "ME60749",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.