Active NPI
Peter William Blumencranz, MD
- Surgery Physician
- Clearwater, FL
National Provider Identifier
1306845037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME28921
- Practice address
- 400 Pinellas St
Suite 200
Clearwater, FL 33756-3312 - Phone
- (727) 462-2131
- Fax
- (727) 462-2115
- NPI assigned
- Jul 15, 2005
- Last updated
- Mar 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME28921 | FL | Primary |
Addresses
Primary practice location
400 Pinellas St
Suite 200
Clearwater, FL 33756-3312
Mailing address
400 Pinellas St Ste 200
Clearwater, FL 33756-3312
Phone (727) 462-2131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036392800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PeterW.Blumencranz@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME28921 | FL | MD | Surgery Physician |
Interoperability endpoints
- peterw.blumencranz@direct.mybaycare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1306845037",
"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": "727-266-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PINELLAS ST",
"address_2": "SUITE 200",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563312",
"telephone_number": "727-462-2131",
"fax_number": "727-462-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMENCRANZ",
"first_name": "PETER",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME28921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036392800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "PeterW.Blumencranz@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 Street",
"address_2": "East Bldg 2nd Floor",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "33759",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.