Individual provider Active NPI

Sandy Besaly, PA-C

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1215644117
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116751 Issued in FL
Practice address
2971 Estancia Blvd Apt 421
Clearwater, FL 33761-2618
Phone
(727) 776-1242
NPI assigned
Oct 31, 2022
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116751 FL Primary

Addresses

Primary practice location

2971 Estancia Blvd Apt 421
Clearwater, FL 33761-2618

Mailing address

2971 Estancia Blvd Apt 421
Clearwater, FL 33761-2618

Other practice location 1

6133 Central Ave
St Petersburg, FL 33710-8529
Phone (727) 344-3008

Other practice location 2

501 N Howard Ave Ste 100
Tampa, FL 33606-1213
Phone (813) 253-2727

Other practice location 3

148 13th St SW
Largo, FL 33770-3127
Phone (813) 253-2727

Other identifiers 1

IdentifierTypeStateIssuer
117796500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL A/A

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412000623 FL Practitioner - Physician Assistant 5890160527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11925 Sheldon Rd
Tampa, FL 33626-3644
Phone (727) 581-8706

148 13TH St SW
Largo, FL 33770-3127
Phone (727) 581-8706

501 N Howard Ave
Suite 100
Tampa, FL 33606-1213
Phone (727) 581-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116751FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Physicians of Pinellas, PA CurrentSince Aug 6, 2024 Accepting new patients
The Eye Physicians of Pinellas, PA CurrentSince Aug 6, 2024 Accepting new patients

Locations

3220 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 723-8706

148 13th St SW
Largo, FL 33770
Phone (727) 450-3030

148 13th St SW
Ste 200
Largo, FL 33770
Phone (727) 450-3030

6133 Central Ave
St Petersburg, FL 33710
Phone (727) 344-3008

11925 Sheldon Rd
Tampa, FL 33626
Phone (813) 792-0444

501 N Howard Ave
Ste 100
Tampa, FL 33606
Phone (813) 253-2727

Interoperability endpoints

  • Direct secure messaging: sbesaly@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1215644117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 ESTANCIA BLVD APT 421",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 ESTANCIA BLVD APT 421",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612618",
            "telephone_number": "727-776-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6133 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337108529",
            "country_code": "US",
            "telephone_number": "727-344-3008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Howard Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336061213",
            "country_code": "US",
            "telephone_number": "813-253-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 13th St SW",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703127",
            "country_code": "US",
            "telephone_number": "813-253-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESALY",
        "first_name": "SANDY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117796500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "A/A",
            "affiliation": "N",
            "address_1": "2971 Estancia Blvd Apt 421",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337612618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.