Organization Active NPI

Bay Area Advance Gastroenterology Care Inc

  • Gastroenterology Physician
  • Brandon, FL
National Provider Identifier
1790055457
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
BAY AREA ADVANCE GASTROENTEROLOGY CARE INC
Practice address
1130 Kyle Wood LN
Brandon, FL 33511-4850
Phone
(813) 600-5423
Fax
(813) 482-9794
NPI assigned
Jan 11, 2012
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Ramesh Narayan Ashwath, MDNPI 1386698074
Title
President
Phone
(813) 600-5423

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1130 Kyle Wood LN
Brandon, FL 33511-4850

Mailing address

2204 S Parsons Ave
Seffner, FL 33584-5212
Phone (813) 600-5423

Other practice location 1

10004 N Dale Mabry Hwy Ste 101
Tampa, FL 33618-4421
Phone (813) 600-5423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120924000325 FL Part B Supplier - Clinic/Group Practice 8921256546 Receives reassigned benefits from 7 practitioners
Practice locations: Brandon, FL; Tampa, 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
10D2277803Bay Area Advance Gastroenterology Care Inc1130 Kyle Wood Lane, Brandon, FL 33511ComplianceApr 30, 2026

National Provider Directory

National Provider Directory

Locations

1130 Kyle Wood Ln
Brandon, FL 33511
Phone (813) 600-5423

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDDDCA

Practitioners & affiliated clinicians

Practitioners 9

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1790055457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S PARSONS AVE",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335845212",
            "telephone_number": "813-600-5423",
            "fax_number": "813-482-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 KYLE WOOD LN",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114850",
            "telephone_number": "813-600-5423",
            "fax_number": "813-482-9794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 N Dale Mabry Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336184421",
            "country_code": "US",
            "telephone_number": "813-600-5423",
            "fax_number": "678-553-1277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA ADVANCE GASTROENTEROLOGY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "ASHWATH",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_middle_name": "NARAYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-600-5423",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.