Active NPI
Vyacheslav Scott Gutkin, MD
- Family Medicine Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME114038
- Practice address
- 300 Pinellas St
Clearwater, FL 33756-3804 - Phone
- (727) 462-7907
- Fax
- (727) 462-7904
- NPI assigned
- May 14, 2013
- Last updated
- Aug 12, 2022
- 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 | ME114038 | FL | Primary |
Addresses
Primary practice location
300 Pinellas St
Clearwater, FL 33756-3804
Mailing address
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7907
Other practice location 1
1700 N McMullen Booth Rd
Suite D1
Clearwater, FL 33759-2130
Phone (727) 669-3800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Vyacheslav.Gutkin@direct.mybacyare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
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
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME114038 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Inpatient Consultants of Florida, Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| QMC LLC | Past | Accepting new patients |
Locations
1700 N McMullen Booth Rd
Ste D1
Clearwater, FL 33759
Phone (727) 669-3800
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
300 Pinellas St
#47
Clearwater, FL 33756
Phone (727) 462-7907
3131 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 341-0551
2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
Interoperability endpoints
- vyacheslav.gutkin@direct.mybacyare.org
- vyacheslav.gutkin@direct.mybaycare.org
Organizations & group practices 6
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Family Medicine
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
dba Foundation Medical Group
- Hospitalist Physician
- Boca Raton, FL
- NPI 1750872545
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1386080612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PINELLAS ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563804",
"telephone_number": "727-462-7907",
"fax_number": "727-462-7904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PINELLAS ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563804",
"telephone_number": "727-462-7907",
"fax_number": "727-462-7904"
}
],
"practiceLocations": [
{
"address_1": "1700 N McMullen Booth Rd",
"address_2": "Suite D1",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337592130",
"country_code": "US",
"telephone_number": "727-669-3800",
"fax_number": "727-669-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTKIN",
"first_name": "VYACHESLAV",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-14",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME114038",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Vyacheslav.Gutkin@direct.mybacyare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.