NPIMap

Individual provider Active NPI

Luis F Ycaza, D.O.

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1366480311
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS7473 Issued in FL
Practice address
1839 Central Ave
St Petersburg, FL 33713-8900
Phone
(727) 322-1054
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS7473 FL Primary

Addresses

Primary practice location

1839 Central Ave
St Petersburg, FL 33713-8900

Mailing address

1839 Central Ave
St Petersburg, FL 33713-8900
Phone (727) 322-1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121009000365 FL Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 2466601398 Reassigns benefits to 4 organizations
Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Health Care of Pinellas, LLCGroup PAC ID 1658274675, 88 clinicians
Sunstate Physicians LLCGroup PAC ID 3577813617, 14 clinicians

Practice addresses (Care Compare)

1839 Central Ave
St Petersburg, FL 33713-9089
Phone (727) 322-1054

2234 N Federal Hwy
Suite 531
Boca Raton, FL 33431-7710

801 W Bay Dr
Suite 321
Largo, FL 33770-3227
Phone (727) 316-5033

Hospital & facility affiliations

  • Keystone Home Health Inc Home health agency, St Petersburg, FL, CCN 108469
  • Magnet Home Health Care Services LLC Home health agency, Tampa, FL, CCN 687138
  • Suncoast Hospice Hospice, Palm Harbor, FL, CCN 101508
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • Encompass Health Rehabilitation Hospital of Largo Inpatient rehabilitation facility, Largo, FL, CCN 103037
  • Golfview Nursing Center Nursing home, Saint Petersburg, FL, CCN 105409
  • Lexington Healthcare and Rehabilitation Center Nursing home, Saint Petersburg, FL, CCN 105072
  • Victoria Crossing Rehabilitation Center Nursing home, Brandon, FL, CCN 106155
  • Gulfport Nursing Center Nursing home, Pasadena, FL, CCN 106103
  • Egret Cove Center Nursing home, Saint Petersburg, FL, CCN 105293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
All Smiles Sleep Solutions LLC CurrentSince Aug 1, 2021 Accepting new patients
Sunstate Physicians LLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Pro-Cura LLC Internal Medicine CurrentSince Jun 28, 2024 Accepting new patients
Comprehensive Hospital Physicians of Florida Inc Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Professional Health Care of Pinellas Inc. CurrentSince Apr 30, 2019 Accepting new patients
Professional Health Care of Pinellas LLC Family Medicine CurrentSince Apr 30, 2019 Accepting new patients
South Tampa Medical Group PA Internal Medicine Past Accepting new patients
South Tampa Medical Associates Inc Internal Medicine Past Accepting new patients
QMC LLC Past Accepting new patients
Injury Care Institute LLC PastSince Jul 20, 2012 Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

802 N Belcher Rd
Clearwater, FL 33765
Phone (727) 447-3000

801 West Bay Dr
Ste 321
Largo, FL 33770
Phone (561) 302-6086

6020 Indiana Ave
New Prt Rchy, FL 34653
Phone (352) 860-0200

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

7101 Mlk Jr St N
St Petersburg, FL 33702
Phone (727) 527-7231

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Laurellwood Post-Acute and Rehabilitation CenterSt Petersburg, FL, CCN 105228 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 21, 2021
Apr 21, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1366480311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YCAZA",
        "first_name": "LUIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.