Individual provider Active NPI

Negar Golesorkhi, M.D.

  • Surgery Physician
  • Clearwater, FL
National Provider Identifier
1164691747
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME147617 Issued in FL
Practice address
400 Pinellas St Ste 200
Clearwater, FL 33756-3312
Phone
(727) 462-2131
Fax
(941) 472-7266
NPI assigned
Feb 27, 2008
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D85765 MD
Surgery Physician 208600000X ME147617 FL Primary
Surgical Oncology Physician 2086X0206X ME147617 FL
Surgical Oncology Physician 2086X0206X D85765 MD
Surgical Oncology Physician 2086X0206X 0101245830 VA

Addresses

Primary practice location

400 Pinellas St Ste 200
Clearwater, FL 33756-3312

Mailing address

400 Pinellas St Ste 200
Clearwater, FL 33756-3312
Phone (727) 462-2131

Other practice location 1

3407 Wilkens Ave Ste 410
Baltimore, MD 21229-5074
Phone (443) 574-8500

Other practice location 2

195 Center Rd Ste B
Venice, FL 34285-5565
Phone (941) 492-6227

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address negar.golesorkhimd@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

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
I20201118001706 FL Practitioner - General Surgery 0547315350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Virginia Commonwealth University, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409

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

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

400 Pinellas St
Clearwater, FL 33756-3312

6600 Madison St
Suite 2
New Port Richey, FL 34652-1971
Phone (727) 815-7207

6633 Forest Ave
New Port Richey, FL 34653-2612

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy47
Melanoma (skin cancer) excision32
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Surgery Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jun 3, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

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

400 Pinellas St
Ste 200
Clearwater, FL 33756
Phone (727) 462-2131

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601

Organizations & group practices 3

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1164691747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PINELLAS ST STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563312",
            "telephone_number": "727-462-2131",
            "fax_number": "941-472-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PINELLAS ST STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563312",
            "telephone_number": "727-462-2131",
            "fax_number": "941-472-7266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3407 Wilkens Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212295074",
            "country_code": "US",
            "telephone_number": "443-574-8500",
            "fax_number": "410-719-0094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Center Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342855565",
            "country_code": "US",
            "telephone_number": "941-492-6227",
            "fax_number": "941-492-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLESORKHI",
        "first_name": "NEGAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D85765",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME147617",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME147617",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MD",
            "license": "D85765",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "VA",
            "license": "0101245830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "negar.golesorkhimd@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 Clearwater, FL

Sources for this page

Verify at the official NPI Registry.