Individual provider Active NPI

Bozena Barbara Sabala, D.O.

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1790706406
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8316 Issued in FL
Practice address
525 S. Hercules Ave.
Unit 1
Clearwater, FL 33764
Phone
(727) 443-3832
Fax
(727) 443-7903
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8316 FL Primary

Addresses

Primary practice location

525 S. Hercules Ave.
Unit 1
Clearwater, FL 33764

Mailing address

525 S. Hercules Ave.
Unit 1
Clearwater, FL 33764
Phone (727) 443-3832

Other identifiers 3

IdentifierTypeStateIssuer
3539988OtherFLAETNA
44624OtherFLBCBS
3899253OtherFLCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000430 FL Practitioner - Family Practice 0345212684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2014 Drew St
Suite 1
Clearwater, FL 33765-3134

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions27
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS8316FLMDFamily Medicine Physician
OS8613FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozena B Sabala DO PA Family Medicine CurrentSince Jun 1, 2004 Accepting new patients
Live Better Health Center, LLC PastSince Jul 10, 2017 Accepting new patients

Locations

50 S Belcher Rd
Ste 124
Clearwater, FL 33765
Phone (727) 443-3832

525 S Hercules Ave
Unit 1
Clearwater, FL 33764
Phone (727) 443-3832

525 S Hercules Ave
Ste 101
Clearwater, FL 33764
Phone (727) 216-3572

2014 Drew St
Ste 1
Clearwater, FL 33765
Phone (727) 443-3832

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1790706406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S. HERCULES AVE.",
            "address_2": "UNIT 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33764",
            "telephone_number": "727-443-3832",
            "fax_number": "727-443-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S. HERCULES AVE.",
            "address_2": "UNIT 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33764",
            "telephone_number": "727-443-3832",
            "fax_number": "727-443-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABALA",
        "first_name": "BOZENA",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3539988",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44624",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3899253",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.