Individual provider Active NPI

Ana C. Krakusin Baltazar, M.D.

  • Anesthesiology Physician
  • Tampa, FL
National Provider Identifier
1427028356
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME102670 Issued in FL
Practice address
3001 W Dr Martin Luther King Jr Blvd
American Anesthesiology Associates of Florida Inc
Tampa, FL 33607-6307
Phone
(813) 350-7244
Fax
(813) 350-7246
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Q5684 TX
Anesthesiology Physician 207L00000X ME102670 FL Primary

Addresses

Primary practice location

3001 W Dr Martin Luther King Jr Blvd
American Anesthesiology Associates of Florida Inc
Tampa, FL 33607-6307

Mailing address

PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839

Other identifiers 1

IdentifierTypeStateIssuer
Q5684OtherTXTEXAS MEDICAL LICENSE

Other names 1

  • Ana Cristina Krakusin Former name

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
I20090323000242 FL Practitioner - Anesthesiology 6800953688 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf-to-Bay Anesthesiology Associates LLCGroup PAC ID 5092628156, 330 clinicians

Practice addresses (Care Compare)

516 Vonderburg Dr
Brandon, FL 33511-5954
Phone (813) 654-7771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102670FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Florida Medical Clinic LLC CurrentSince Sep 1, 2018 Accepting new patients
Digestive Anesthesia Associates LLC Anesthesiology CurrentSince May 4, 2019 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Feb 6, 2024 Accepting new patients
Orange City Anesthesia Services LLC Anesthesiology CurrentSince Aug 16, 2017 Accepting new patients
Sarasota Anesthesia Services LLC Anesthesiology CurrentSince Aug 16, 2017 Accepting new patients
Ohi West Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Lakewood Ranch Anesthesia PL Anesthesiology CurrentSince Jun 12, 2018 Accepting new patients
American Anesthesiology Services of Florida, Inc. Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Sep 1, 2018 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Feb 6, 2024 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Ohi West Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Charles K Friedman DO PA PastSince Jul 1, 2012 Accepting new patients

Locations (25 of 27)

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

516 Vonderburg Dr
Brandon, FL 33511
Phone (813) 654-7771

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

5771 49th St N
Ste 157
St Petersburg, FL 33709

5771 49th St N
St Petersburg, FL 33709
Phone (727) 443-4299

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

14547 Bruce B Downs Blvd
Tampa, FL 33613
Phone (800) 242-5080

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: abaltazar@yourcarecommunity.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1427028356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "800-243-3839",
            "fax_number": "855-851-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "AMERICAN ANESTHESIOLOGY ASSOCIATES OF FLORIDA INC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "813-350-7244",
            "fax_number": "813-350-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKUSIN BALTAZAR",
        "first_name": "ANA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q5684",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME102670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "Q5684",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "KRAKUSIN",
            "middle_name": "CRISTINA",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.