Individual provider Active NPI

Ryan Alexander Cu Boggs

  • Pediatric Cardiology Physician
  • St Petersburg, FL
National Provider Identifier
1558706135
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME128113 Issued in FL
Practice address
625 6TH Ave S Ste 120
St Petersburg, FL 33701-4654
Phone
(727) 322-4848
NPI assigned
May 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME128113 FL
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Cardiology Physician 2080P0202X ME128113 FL Primary

Addresses

Primary practice location

625 6TH Ave S Ste 120
St Petersburg, FL 33701-4654

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-7496

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ryan.boggsmd.p39@direct.mednax.nextgenshare.com
Direct Messaging Address Ryan.BoggsMD@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
I20190916000902 FL Practitioner - Pediatric Medicine 7719127919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Florida College of Medicine, 2013
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)

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Aug 1, 2019 Accepting new patients
Tampa General Hospital Current Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 1, 2019 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 7, 2024 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
Stern, Drake, Isbell and Assocs PA Past Accepting new patients

Locations

427 S Parsons Ave
Ste 122
Brandon, FL 33511
Phone (727) 322-4830

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

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

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
#100371
Gainesville, FL 32610
Phone (352) 265-8335

808 E Main St
Lakeland, FL 33801
Phone (813) 554-8701

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

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

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

3003 W Mlk Blvd
Fl 3
Tampa, FL 33607
Phone (813) 554-8701

3003 W Dr Martin Luther King Jr Blvd
Ste 304
Tampa, FL 33607
Phone (813) 554-8701

27509 Cashford Cir
Wesley Chapel, FL 33544
Phone (727) 322-4830

Interoperability endpoints

  • Direct secure messaging: rboggs214150@orlandohealth.medalliesdirect.net
  • Direct secure messaging: ryan.boggsmd.p39@direct.mednax.nextgenshare.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rboggs177397@direct.tgh.org
  • Direct secure messaging: ryan.boggsmd@direct.mybaycare.org

Organizations & group practices 8

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1558706135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 120",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014654",
            "telephone_number": "727-322-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "RYAN",
        "middle_name": "ALEXANDER CU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME128113",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME128113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.boggsmd.p39@direct.mednax.nextgenshare.com",
            "affiliation": "Y",
            "address_1": "625 6th Ave S Ste 120",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337014654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ryan.BoggsMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "625 6th Ave S Ste 120",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337014654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.