Organization Active NPI

Bay Center for Pain Management PA

  • Interventional Pain Medicine Physician
  • Largo, FL
National Provider Identifier
1619923158
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
BAY CENTER FOR PAIN MANAGEMENT PA
Practice address
1715 E Bay Dr Ste a
Largo, FL 33771-2279
Phone
(727) 588-0366
Fax
(727) 588-0370
NPI assigned
May 26, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Dr. Imtiaz Hossain, MDNPI 1669439600
Title
President
Phone
(727) 588-0366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

1715 E Bay Dr Ste a
Largo, FL 33771-2279

Mailing address

1715 E Bay Dr Ste a
Largo, FL 33771-2279
Phone (727) 588-0366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000945 FL Part B Supplier - Clinic/Group Practice 7416910427 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1012935Bay Center for Pain Management, PA1715 E Bay Dr, Suite a, Largo, FL 33771Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

Locations

101 Clearwater Largo Rd N
Ste 2
Largo, FL 33770
Phone (727) 588-0366

1715 E Bay Dr
Ste A
Largo, FL 33771
Phone (727) 588-0366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1619923158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E BAY DR STE A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712279",
            "telephone_number": "727-588-0366",
            "fax_number": "727-588-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E BAY DR STE A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712279",
            "telephone_number": "727-588-0366",
            "fax_number": "727-588-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CENTER FOR PAIN MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "IMTIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-588-0366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 5, 2026; 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.