Active NPI
Kurt Victore Erickson, MD
- Specialist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME86958
- Practice address
- 1106 Druid Rd S
Sute 301
Clearwater, FL 33756-3846 - Phone
- (727) 446-5681
- Fax
- (727) 461-6258
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME86958 | FL | Primary |
Addresses
Primary practice location
1106 Druid Rd S
Sute 301
Clearwater, FL 33756-3846
Mailing address
1106 Druid Rd S
Sute 301
Clearwater, FL 33756-3846
Phone (727) 446-5681
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kurt.EricksonMD@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of South Florida College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 Druid Rd S
Suite 301
Clearwater, FL 33756-3841
Phone (727) 446-5681
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231
8787 Bryan Dairy Rd
Suite 200
Largo, FL 33777-1253
Phone (727) 394-5650
Hospital & facility affiliations
- Baycare Home Care Inc
- Morton Plant Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 16 |
| Hernia repair - groin (open) | 14 |
| Hernia repair (minimally invasive) | 51 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86958 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Clearwater Surgical Associates, PLLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
1106 Druid Rd S
Ste 301
Clearwater, FL 33756
Phone (727) 446-5681
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
8787 Bryan Dairy Rd
Ste 200
Largo, FL 33777
Phone (727) 394-5650
1840 Mease Dr
Ste 301
Safety Harbor, FL 34695
Phone (727) 446-5681
Interoperability endpoints
- kurt.ericksonmd@direct.mybaycare.org
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Morton Plant Hospital | Hospital | Corporate Director | Jan 1, 2016 |
| Mease Countryside Hospital | Hospital | Corporate Director | Jan 1, 2018 |
| Winter Haven Hospital Inc | Hospital | Corporate Director | Feb 1, 2022 |
| Bartow Regional Medical Center | Hospital | Corporate Director | Feb 1, 2022 |
| Baycare Hospital Wesley Chapel | Hospital | Corporate Director | Mar 1, 2023 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Bartow, FL
- NPI 1558734095
Corporate Director
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
Corporate Director
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
Corporate Director
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
Corporate Director
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
-
- Surgery Physician
- Largo, FL
- NPI 1811222847
-
- 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.
-
- Home Health Agency
- Dunedin, FL
- NPI 1972501252
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1790784445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 DRUID RD S",
"address_2": "SUTE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563846",
"telephone_number": "727-446-5681",
"fax_number": "727-461-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 DRUID RD S",
"address_2": "SUTE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563846",
"telephone_number": "727-446-5681",
"fax_number": "727-461-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "KURT",
"middle_name": "VICTORE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME86958",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kurt.EricksonMD@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.