Active NPI
Daniel A Eckstein, M.D.
- Family Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME118707
- Practice address
- 500 Roser Park Dr S
St Petersburg, FL 33701-5214 - Phone
- (727) 898-4461
- Fax
- (727) 502-0841
- NPI assigned
- Jun 11, 2012
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME118707 | FL | Primary |
Addresses
Primary practice location
500 Roser Park Dr S
St Petersburg, FL 33701-5214
Mailing address
500 10TH Avenue S
St Petersburg, FL 33701-5214
Phone (727) 898-4461
Other practice location 1
603 7th St S
Suite 400
St Petersburg, FL 33701-4719
Phone (727) 553-7420
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Florida College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12020 Seminole Blvd
Largo, FL 33778-2805
Phone (727) 588-9572
Hospital & facility affiliations
- Suncoast Hospice
- St Josephs Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roser Park Medical Center | Family Medicine | Current | Accepting new patients |
| Suncoast Family Medical Associates | Family Medicine | Current | Accepting new patients |
Locations
12020 Seminole Blvd
Largo, FL 33778
Phone (727) 588-9572
500 10th Ave S
St Petersburg, FL 33701
Phone (727) 898-4461
500 Roser Park Dr S
St Petersburg, FL 33701
Phone (727) 330-0699
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Largo, FL
- NPI 1811981178
-
- Family Medicine Physician
- Saint Petersburg, FL
- NPI 1922031939
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- Community Based Hospice Care Agency
- Palm Harbor, FL
- NPI 1124028204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1366704843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 10TH AVENUE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337015214",
"telephone_number": "727-898-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ROSER PARK DR S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337015214",
"telephone_number": "727-898-4461",
"fax_number": "727-502-0841"
}
],
"practiceLocations": [
{
"address_1": "603 7th St S",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337014719",
"country_code": "US",
"telephone_number": "727-553-7420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECKSTEIN",
"first_name": "DANIEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME118707",
"primary": true
}
],
"identifiers": [],
"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 Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.