Active NPI
Marcus D'Agostino
- Certified Registered Nurse Anesthetist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11019588
- Practice address
- 12901 Bruce B Downs Blvd
Tampa, FL 33612-4742 - Phone
- (727) 688-1164
- NPI assigned
- Feb 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11019588 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN9398906 | FL |
Addresses
Primary practice location
12901 Bruce B Downs Blvd
Tampa, FL 33612-4742
Mailing address
12489 Longstone CT
New Port Richey, FL 34655-7262
Phone (727) 688-1164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589
3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11019588 | FL | MD | Certified Registered Nurse Anesthetist |
| RN9398906 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- marcus.d'agostinocrna@direct.mybaycare.org
Organizations & group practices 3
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1720732878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12489 LONGSTONE CT",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346557262",
"telephone_number": "727-688-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12901 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124742",
"telephone_number": "727-688-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AGOSTINO",
"first_name": "MARCUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-08",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11019588",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN9398906",
"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 Jan 3, 2023; 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.