Organization Active NPI

Westcoast Hospitalist LLC

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1316076664
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WESTCOAST HOSPITALIST LLC
Practice address
1201 5TH Ave N
Suite 410
St Petersburg, FL 33705-1433
Phone
(727) 822-5410
Fax
(941) 746-4111
NPI assigned
Mar 4, 2007
Last updated
May 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Dr. Robert L Proietto, DONPI 1467404921
Title
Partner
Phone
(727) 822-5410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1201 5TH Ave N
Suite 410
St Petersburg, FL 33705-1433

Mailing address

1201 5TH Ave N
Suite 410
St Petersburg, FL 33705-1433
Phone (727) 822-5410

Other identifiers 3

IdentifierTypeStateIssuer
00054OtherFLBCBS
277777100MedicaidFL
DF74555OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070404000164 FL Part B Supplier - Clinic/Group Practice 5092819870 Receives reassigned benefits from 6 practitioners
Practice locations: Palm Harbor, FL; St Petersburg, FL; South Pasadena, FL; Pinellas Park, FL; Clearwater, FL

National Provider Directory

National Provider Directory

Locations

1099 5th Ave N
Ste 341
St Petersburg, FL 33705
Phone (727) 822-5410

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1316076664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "SUITE 410",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051433",
            "telephone_number": "727-822-5410",
            "fax_number": "941-746-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "SUITE 410",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051433",
            "telephone_number": "727-822-5410",
            "fax_number": "941-746-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCOAST HOSPITALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "PROIETTO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "727-822-5410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00054",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277777100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF74555",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.