NPIMap

Organization Active NPI

Bay Surgical Specialists, LLC

  • Vascular Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1457348237
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
BAY SURGICAL SPECIALISTS, LLC
Practice address
960 7TH Ave N
St Petersburg, FL 33705-1347
Phone
(727) 821-8101
Fax
(727) 894-8360
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Jade Duncanson
Title
Practice Administrator
Phone
(727) 821-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

960 7TH Ave N
St Petersburg, FL 33705-1347

Mailing address

960 7TH Ave N
St Petersburg, FL 33705-1347
Phone (727) 821-8101

Other identifiers 1

IdentifierTypeStateIssuer
267796200MedicaidFL

Other names 1

  • Bay Surgical Specialists, PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109001026 FL Part B Supplier - Clinic/Group Practice 1254359086 Receives reassigned benefits from 17 practitioners
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

1201 5th Ave N
Ste 200
St Petersburg, FL 33705
Phone (727) 821-8101

2191 9th Ave N
Ste 270
St Petersburg, FL 33713
Phone (727) 357-6447

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.694

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1457348237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051347",
            "telephone_number": "727-821-8101",
            "fax_number": "727-894-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051347",
            "telephone_number": "727-821-8101",
            "fax_number": "727-894-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "DUNCANSON",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "727-821-8101"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267796200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Surgical Specialists, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.