Individual provider Active NPI

Ana M. Verdeja Perez, M.D.

  • Gynecology Physician
  • Plant City, FL
National Provider Identifier
1407930589
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME78928 Issued in FL
Practice address
1601 W Timberlane Dr Ste 400
Plant City, FL 33566
Phone
(813) 321-6677
Fax
(813) 443-8153
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME78928 FL Primary

Addresses

Primary practice location

1601 W Timberlane Dr Ste 400
Plant City, FL 33566

Mailing address

1601 W Timberlane Dr Ste 400
Plant City, FL 33566-0957
Phone (813) 321-6677

Other identifiers 1

IdentifierTypeStateIssuer
257571000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ana.verdejaperez@direct.mybaycare.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130129000630 FL Practitioner - Obstetrics/Gynecology 0648422055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

1601 W Timberlane Dr
Suite 400
Plant City, FL 33566-0957
Phone (813) 321-6677

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Obstetrics & Gynecology CurrentSince Feb 1, 2015 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 1, 2015 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

3198 N Park Rd
Ste 204
Plant City, FL 33563
Phone (813) 708-1312

1601 W Timberlane Dr
Ste 400
Plant City, FL 33566
Phone (813) 321-6677

1601 W Timberlane Dr
Ste 600
Plant City, FL 33566
Phone (863) 937-3139

Interoperability endpoints

  • Direct secure messaging: ana.verdeja.1@26845.direct.athenahealth.com

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.

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1407930589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W TIMBERLANE DR STE 400",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660957",
            "telephone_number": "813-321-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W TIMBERLANE DR STE 400",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "33566",
            "telephone_number": "813-321-6677",
            "fax_number": "813-443-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDEJA PEREZ",
        "first_name": "ANA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME78928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257571000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ana.verdejaperez@direct.mybaycare.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 Plant City, FL

Sources for this page

Verify at the official NPI Registry.