Organization Active NPI

Bay Area Medical Center, P.a.

  • Pulmonary Disease Physician
  • Palm Harbor, FL
National Provider Identifier
1366631004
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME 0067723 Issued in FL
Legal business name
BAY AREA MEDICAL CENTER, P.A.
Practice address
2595 Tampa Rd
Suite S&T
Palm Harbor, FL 34684-3152
Phone
(727) 781-4299
Fax
(727) 781-5387
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Anita Kundra, M.D.NPI 1134185820
Title
President
Phone
(727) 781-4299

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0067270 FL
Pulmonary Disease Physician 207RP1001X ME 0067723 FL Primary

Addresses

Primary practice location

2595 Tampa Rd
Suite S&T
Palm Harbor, FL 34684-3152

Mailing address

2595 Tampa Rd
Suite S&T
Palm Harbor, FL 34684-3152
Phone (727) 781-4299

Other identifiers 1

IdentifierTypeStateIssuer
33817OtherFLMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120216000067 FL Part B Supplier - Clinic/Group Practice 2769640093 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Locations

2595 Tampa Rd
Ste S
Palm Harbor, FL 34684
Phone (727) 781-4299

2595 Tampa Rd
Ste St
Palm Harbor, FL 34684
Phone (727) 781-4299

Practitioners & affiliated clinicians

Practitioners 4

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1366631004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "SUITE S&T",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843152",
            "telephone_number": "727-781-4299",
            "fax_number": "727-781-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "SUITE S&T",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843152",
            "telephone_number": "727-781-4299",
            "fax_number": "727-781-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA MEDICAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "KUNDRA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-781-4299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0067270",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 0067723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "33817",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.