Individual provider Active NPI

Elias Mentis, DO

  • Anesthesiology Physician
  • Largo, FL
National Provider Identifier
1376555813
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS9031 Issued in FL
Practice address
8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone
(727) 394-5331
NPI assigned
Aug 13, 2006
Last updated
Feb 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS9031 FL Primary

Addresses

Primary practice location

8787 Bryan Dairy Rd
Largo, FL 33777-1251

Mailing address

PO Box 862155
Orlando, FL 32886-2155
Phone (913) 647-0593

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000515 FL Practitioner - Anesthesiology 0840238895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Anesthesia LLCGroup PAC ID 1153385612, 42 clinicians

Practice addresses (Care Compare)

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (954) 939-5000

8787 Bryan Dairy Rd
Suite 300
Largo, FL 33777-1252
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS9031FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Anesthesia LLC Anesthesiology CurrentSince Oct 16, 2004 Accepting new patients
Bay Area Anesthesia LLC Anesthesiology CurrentSince Oct 16, 2004 Accepting new patients

Locations

1018 West Bay Dr
Largo, FL 33770
Phone (727) 585-2200

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

8787 Bryan Dairy Rd
Ste 300
Seminole, FL 33777
Phone (727) 394-5300

6945 1st Ave S
St Petersburg, FL 33707
Phone (727) 302-9200

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

2020 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4055

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1376555813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862155",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328862155",
            "telephone_number": "913-647-0593",
            "fax_number": "913-341-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BRYAN DAIRY RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771251",
            "telephone_number": "727-394-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTIS",
        "first_name": "ELIAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS9031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.