Individual provider Active NPI

Kurt Victore Erickson, MD

  • Specialist
  • Clearwater, FL
National Provider Identifier
1790784445
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME86958 Issued in FL
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

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000024 FL Practitioner - General Surgery 4486695574 Reassigns benefits to 1 organization

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
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

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 Home health agency, Dunedin, FL, CCN 107415
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy16
Hernia repair - groin (open)14
Hernia repair (minimally invasive)51
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86958FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Clearwater Surgical Associates, PLLC Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Mar 1, 2018 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Morton Plant HospitalClearwater, FL, CCN 100127 Hospital Corporate Director Jan 1, 2016
Mease Countryside HospitalClearwater, FL, CCN 100265 Hospital Corporate Director Jan 1, 2018
Winter Haven Hospital IncWinter Haven, FL, CCN 100052 Hospital Corporate Director Feb 1, 2022
Bartow Regional Medical CenterBartow, FL, CCN 100121 Hospital Corporate Director Feb 1, 2022
Baycare Hospital Wesley ChapelWesley Chapel, FL, CCN 100362 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.

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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.