Organization Active NPI

Bay Area Endocrinology Associates LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Tampa, FL
National Provider Identifier
1699019315
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME94508 Issued in FL
Legal business name
BAY AREA ENDOCRINOLOGY ASSOCIATES LLC
Practice address
4816 N Armenia Ave
Tampa, FL 33603
Phone
(813) 876-3636
Fax
(813) 870-0077
NPI assigned
Nov 19, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Carlos A Fumero, M.D.NPI 1184710501
Title
Owner/Partner
Phone
(813) 876-3636

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X ME94508 FL Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X ME97850 FL

Addresses

Primary practice location

4816 N Armenia Ave
Tampa, FL 33603

Mailing address

4816 N Armenia Ave
Tampa, FL 33603-1400
Phone (813) 876-3636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130201000158 FL Part B Supplier - Clinic/Group Practice 0547414328 Receives reassigned benefits from 4 practitioners
Practice locations: Tampa, FL; Wesley Chapel, FL; Zephyrhills, FL

National Provider Directory

National Provider Directory

Locations

4816 N Armenia Ave
Ste A
Tampa, FL 33603
Phone (813) 443-0866

2352 Creel Ln
Wesley Chapel, FL 33544
Phone 8136159400202

2412 Cypress Glen Dr
Ste 101
Wesley Chapel, FL 33544
Phone (813) 591-4579

Practitioners & affiliated clinicians

Practitioners 6

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": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699019315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031400",
            "telephone_number": "813-876-3636",
            "fax_number": "813-870-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-876-3636",
            "fax_number": "813-870-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA ENDOCRINOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FUMERO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "813-876-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME94508",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME97850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.