NPIMap

Organization Active NPI

Blue Cloud Anesthesia, LLC

  • Anesthesiology Physician
  • Orlando, FL
National Provider Identifier
1376287730
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BLUE CLOUD ANESTHESIA, LLC
Practice address
1000 Woodcock Rd Ste 120
Orlando, FL 32803-3509
Phone
(407) 792-1968
Fax
(407) 641-5179
NPI assigned
Apr 22, 2022
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Devin Larsen
Title
Ceo
Phone
(208) 340-1840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1000 Woodcock Rd Ste 120
Orlando, FL 32803-3509

Mailing address

9709 Lakeside Blvd Ste 350
Spring, TX 77381-1213
Phone (713) 489-2198

Other practice location 1

5111 Benore Rd
Toledo, OH 43612
Phone (419) 776-6374

Other practice location 2

7690 First Pl Ste E
Bedford, OH 44146-6725
Phone (216) 539-8253

Other practice location 3

12184 Natural Bridge Rd # 90
Bridgeton, MO 63044-2017
Phone (314) 391-4936

Other practice location 4

7867 N Kendall Dr Ste 135
Miami, FL 33156-7736
Phone (717) 759-4375

Other practice location 5

3599 University Blvd S Ste 604
Jacksonville, FL 32216-4234
Phone (717) 850-9301

Other practice location 6

9070 Winton Rd
Cincinnati, OH 45231-3828
Phone (513) 810-5165

Other practice location 7

955 Eastwind Dr Ste 110
Westerville, OH 43081-3376
Phone (380) 383-6887

Other practice location 8

1549 Airport Blvd Ste 420
Pensacola, FL 32504-8634
Phone (850) 876-6724

Other practice location 9

4650 N Dixie Hwy
Oakland Park, FL 33334-3925
Phone (717) 759-4375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250903004278 FL Part B Supplier - Clinic/Group Practice 0840792420 Receives reassigned benefits from 19 practitioners
3 other NPIs on this enrollment
Practice locations: Jacksonville, FL; Miami, FL; Oakland Park, FL; Orlando, FL; Palm Springs, FL; Pensacola, FL; Tampa, FL; Fort Myers, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Blue Cloud Anesthesia LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12184 Natural Bridge Rd
Ste 90
Bridgeton, MO 63044

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1376287730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 LAKESIDE BLVD STE 350",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773811213",
            "telephone_number": "713-489-2198",
            "fax_number": "713-489-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WOODCOCK RD STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033509",
            "telephone_number": "407-792-1968",
            "fax_number": "407-641-5179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5111 Benore Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43612",
            "country_code": "US",
            "telephone_number": "419-776-6374",
            "fax_number": "419-359-4516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7690 First Pl Ste E",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "OH",
            "postal_code": "441466725",
            "country_code": "US",
            "telephone_number": "216-539-8253",
            "fax_number": "216-302-3416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12184 Natural Bridge Rd # 90",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442017",
            "country_code": "US",
            "telephone_number": "314-391-4936",
            "fax_number": "314-474-0191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7867 N Kendall Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331567736",
            "country_code": "US",
            "telephone_number": "717-759-4375",
            "fax_number": "717-759-4336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3599 University Blvd S Ste 604",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164234",
            "country_code": "US",
            "telephone_number": "717-850-9301",
            "fax_number": "717-759-4336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9070 Winton Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452313828",
            "country_code": "US",
            "telephone_number": "513-810-5165",
            "fax_number": "513-394-7243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Eastwind Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430813376",
            "country_code": "US",
            "telephone_number": "380-383-6887",
            "fax_number": "614-300-7320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 Airport Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048634",
            "country_code": "US",
            "telephone_number": "850-876-6724",
            "fax_number": "850-378-1082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4650 N Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333343925",
            "country_code": "US",
            "telephone_number": "717-759-4375",
            "fax_number": "717-759-4336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE CLOUD ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-340-1840"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.