Jigisha Sanghavi Amin, M.D.
Individual provider Active NPI Internal Medicine Physician · Clearwater, FL
NPI 1528083805 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528083805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME87125 (FL)
- Practice address
- 1100 S Fort Harrison Ave
Clearwater, FL 33756-3908 - Phone
- (727) 442-3126
- Fax
- (727) 447-4827
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101201001042 | FL | Practitioner - Family Practice |
4082800180 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promed Ipa LLC | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME87125 | FL | Yes |
Addresses
Primary practice location
1100 S Fort Harrison Ave
Clearwater, FL 33756-3908
Mailing address
1802 Nottingham LN
Clearwater, FL 33764-6411
Phone (727) 698-7359
Other providers in Clearwater, FL
- American Oncology Partners, P.a.
- Americus Total Care, LLC
- Amg Dentistry & Wellness LLC
- Devendra N Amin
- Jay Kumar Amin
- Mahesh Amin
- Samantha Suzanne Ammann
- Amp Ltcrx LLC
- Ifeoma Anagboso
- Andres Alfredo Anais
All providers in Clearwater, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.