Bay Area Anesthesia LLC

Organization Active NPI Anesthesiology Physician · Lutz, FL

NPI 1760055446 · NPPES record last updated Aug 1, 2025

Key facts

NPI
1760055446
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
BAY AREA ANESTHESIA LLC
Practice address
4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone
(954) 939-5000
Fax
(877) 250-6889
NPI assigned
Jul 21, 2021
Organization subpart
No

Authorized official

Name
Christopher Kennedy
Title
Authorized Official
Phone
(207) 807-9009

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041115000607 FL Part B Supplier - Clinic/Group Practice 1153385612 Receives reassigned benefits from 59 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Largo, FL; Lutz, FL; Trinity, FL

National Provider Directory

Tax ID family
Bay Area Anesthesia LLC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

4211 Van Dyke Rd
Lutz, FL 33558-8005

Mailing address

PO Box 743617
Atlanta, GA 30374-3617
Phone (954) 939-5000

Other providers in Lutz, FL

All providers in Lutz, FL · Anesthesiology Physician in Florida

Sources for this page

Verify at the official NPI Registry.