Individual provider Active NPI

Harold J Colbassani, MD

  • Neurological Surgery Physician
  • Clearwater, FL
National Provider Identifier
1235120494
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME58082 Issued in FL
Practice address
400 Pinellas St
Suite 325
Clearwater, FL 33756-3312
Phone
(727) 298-6121
Fax
(727) 533-5903
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME58082 FL Primary

Addresses

Primary practice location

400 Pinellas St
Suite 325
Clearwater, FL 33756-3312

Mailing address

PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 532-0002

Other identifiers 2

IdentifierTypeStateIssuer
P01257159OtherFLMEDICARE RAILROAD PROVIDER NUMBER
001214300MedicaidFL

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
I20041011000126 FL Practitioner - Neurosurgery 9830158286 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME58082FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Neurological Surgery CurrentSince Feb 2, 2015 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 2, 2015 Accepting new patients
Neurosurgery Associates LLC PastSince Aug 15, 2005 Accepting new patients
Neurosurgery Associates, LLC Past Accepting new patients

Locations

303 Pinellas St
Ste 230
Clearwater, FL 33756
Phone (727) 442-4188

430 Morton Plant St
Ste 401
Clearwater, FL 33756
Phone (727) 298-6121

400 Pinellas St
Ste 325
Clearwater, FL 33756
Phone (727) 298-6121

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

646 Virginia St
Ste 600
Dunedin, FL 34698
Phone (727) 733-4151

1840 Mease Dr
Ste 104
Safety Harbor, FL 34695
Phone (727) 216-8025

Interoperability endpoints

  • Direct secure messaging: haroldj.colbassani@direct.mybaycare.org

Organizations & group practices 4

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1235120494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10744",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337578744",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PINELLAS ST",
            "address_2": "SUITE 325",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563312",
            "telephone_number": "727-298-6121",
            "fax_number": "727-533-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBASSANI",
        "first_name": "HAROLD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME58082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
            "identifier": "P01257159",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001214300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.