Individual provider Active NPI

Adam C Virgili, CRNA

  • Certified Registered Nurse Anesthetist
  • Largo, FL
National Provider Identifier
1538190020
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9179435 Issued in FL
Practice address
148 13TH St SW Ste 200
Largo, FL 33770-3127
Phone
(727) 450-3030
Fax
(727) 450-3031
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9179435 FL Primary

Addresses

Primary practice location

148 13TH St SW Ste 200
Largo, FL 33770-3127

Mailing address

PO Box 633
Largo, FL 33779-0633
Phone (727) 450-3030

Other identifiers 1

IdentifierTypeStateIssuer
G4099OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000417 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850315524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grogan Smith and Martini PLGroup PAC ID 5092765693, 9 clinicians
St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

148 13TH St SW
Suite 200
Largo, FL 33770-3127
Phone (727) 450-3030

43309 US Hwy 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 943-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jun 25, 2008 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jun 25, 2008 Accepting new patients
Grogan Smith & Martini PL Nurse Anesthetist, Certified Registered CurrentSince Oct 8, 2018 Accepting new patients

Locations

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

711 S Parsons Ave
Brandon, FL 33511
Phone (813) 654-7111

148 13th St SW
Ste 200
Largo, FL 33770
Phone (727) 450-3030

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

6133 Central Ave
St Petersburg, FL 33710
Phone (727) 344-3008

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

400 N Ashley Dr
Ste 1625
Tampa, FL 33602
Phone (813) 289-6597

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1538190020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337790633",
            "telephone_number": "727-450-3030",
            "fax_number": "727-450-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW STE 200",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "727-450-3030",
            "fax_number": "727-450-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRGILI",
        "first_name": "ADAM",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9179435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G4099",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.