Individual provider Active NPI

Nehal Subhash Dassani, MD

  • Nephrology Physician
  • St Petersburg, FL
National Provider Identifier
1164584660
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME98369 Issued in FL
Practice address
620 10TH St N
St Petersburg, FL 33705-1407
Phone
(727) 824-8274
Fax
(727) 824-8293
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of South Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Medical Group, Inc. 1,539 clinicians

Practice addresses (Care Compare)

1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 820-7737

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

620 10TH St N
St Petersburg, FL 33705-1407

Hospital & facility affiliations

  • St Petersburg Kidney Care Dialysis facility, Saint Petersburg, FL, CCN 682522
  • St Petersburg Kidney Care South Dialysis facility, Saint Petersburg, FL, CCN 682562
  • Primecare Home Health Home health agency, Saint Petersburg, FL, CCN 103197
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180
  • Encompass Health Rehabilitation Hospital of St Pet Inpatient rehabilitation facility, Saint Petersburg, FL, CCN 103073
  • Bayfront Health St. Petersburg Inpatient rehabilitation facility, St. Petersburg, FL, CCN 10T032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000569 FL Practitioner - NephrologyPractitioner - Internal Medicine 2466544614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Bldg 2ND
Clearwater, FL 33759

620 10th St N
Ste 3D
St Petersburg, FL 33705
Phone (727) 824-7146

12450 Roosevelt Blvd N
Ste 308
St Petersburg, FL 33716
Phone (727) 572-0900

Interoperability endpoints

  • Direct secure messaging: ndassani189040@orlandohealth.medalliesdirect.net
  • Direct secure messaging: nehals.dassani@direct.mybaycare.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME98369 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

620 10TH St N
St Petersburg, FL 33705-1407

Mailing address

620 10TH St N Ste 3D
St Petersburg, FL 33705-1407
Phone (727) 824-8274

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
278684200MedicaidFL

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address NehalS.Dassani@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2022.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1164584660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 10TH ST N STE 3D",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051407",
            "telephone_number": "727-824-8274",
            "fax_number": "727-824-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 10TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051407",
            "telephone_number": "727-824-8274",
            "fax_number": "727-824-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASSANI",
        "first_name": "NEHAL",
        "middle_name": "SUBHASH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME98369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278684200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NehalS.Dassani@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.