Individual provider Active NPI

Anika Toor

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1215477161
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME146335 Issued in FL
Practice address
1243 S Myrtle Ave
Clearwater, FL 33756-3469
Phone
(727) 442-3126
Fax
(727) 287-4559
NPI assigned
Feb 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT212370 PA
Internal Medicine Physician 207R00000X ME146335 FL Primary

Addresses

Primary practice location

1243 S Myrtle Ave
Clearwater, FL 33756-3469

Mailing address

1243 S Myrtle Ave
Clearwater, FL 33756-3469
Phone (727) 442-3126

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
I20200721002884 FL Practitioner - Internal Medicine 6002230208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1243 S Myrtle Ave
Optum Myrtle
Clearwater, FL 33756-3469
Phone (727) 442-3126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT212370PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC Internal Medicine CurrentSince Aug 31, 2020 Accepting new patients
Optumcare Florida, LLC CurrentSince Aug 31, 2020 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

1243 S Myrtle Ave
Clearwater, FL 33756
Phone (727) 442-3126

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: anika.toor@wellmed.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1215477161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S MYRTLE AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563469",
            "telephone_number": "727-442-3126",
            "fax_number": "727-287-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S MYRTLE AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563469",
            "telephone_number": "727-442-3126",
            "fax_number": "727-287-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOR",
        "first_name": "ANIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-26",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT212370",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME146335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.