Individual provider Active NPI

Ayca Kabasakal, M.D.

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1588697486
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME141200 Issued in FL
Practice address
9852-54 Little Road
New Port Richey, FL 34654
Phone
(727) 425-6902
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36760 TN
Internal Medicine Physician 207R00000X ME141200 FL Primary

Addresses

Primary practice location

9852-54 Little Road
New Port Richey, FL 34654

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050324000618 TN Practitioner - Internal Medicine 4385690189 Reassigns benefits to 1 organization
I20190812002333 FL Practitioner - Internal Medicine 4385690189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archwell Health Medical of Florida LLCGroup PAC ID 5597127456, 15 clinicians

Practice addresses (Care Compare)

9852 Little Rd
New Port Richey, FL 34654-3470
Phone (727) 425-6902

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36760TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Medical of Florida, LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Aug 1, 2019 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Aug 1, 2019 Accepting new patients
Cumberland Medical Center, Inc Internal Medicine Past Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine PastSince Oct 8, 2023 Accepting new patients

Locations

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

9852 Little Rd
New Port Richey, FL 34654
Phone (727) 425-6902

9852 Little Rd
Ste 54
New Port Richey, FL 34654

9852 Little Rd
#54
New Port Richey, FL 34654

543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

Organizations & group practices 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1588697486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9852-54 LITTLE ROAD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34654",
            "telephone_number": "727-425-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABASAKAL",
        "first_name": "AYCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "36760",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME141200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.