NPIMap

Individual provider Active NPI

Sean Amirzadeh, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Tampa, FL
National Provider Identifier
1801328927
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
OS16074 Issued in FL
Practice address
4816 N Armenia Ave
Tampa, FL 33603-1400
Phone
(813) 876-3636
Fax
(813) 870-0077
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X OS16074 FL Primary

Addresses

Primary practice location

4816 N Armenia Ave
Tampa, FL 33603-1400

Mailing address

124 S Morgan St Unit 5424
Tampa, FL 33602-5383

Other practice location 1

3613 S Gunlock Ave
Tampa, FL 33629-7945
Phone (407) 913-5074

Other identifiers 1

IdentifierTypeStateIssuer
OS16074OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220506000399 FL Practitioner - Endocrinology 1658758974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Area Endocrinology Associates LLCGroup PAC ID 0547414328, 4 clinicians

Practice addresses (Care Compare)

4816 N Armenia Ave
Tampa, FL 33603-1400
Phone (813) 876-3636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16074FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Endocrinology Associates LLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2022 Accepting new patients
Bay Area Endocrinology P.a. Endocrinology, Diabetes & Metabolism Past Accepting new patients
Hyper Healing Past Accepting new patients

Locations

4816 N Armenia Ave
Ste A
Tampa, FL 33603
Phone (813) 443-0866

4816 N Armenia Ave
Tampa, FL 33603
Phone (813) 443-0866

2352 Creel Ln
Wesley Chapel, FL 33544
Phone 8136159400202

2412 Cypress Glen Dr
Ste 101
Wesley Chapel, FL 33544
Phone (813) 591-4579

6719 Gall Blvd
Ste 203
Zephyrhills, FL 33542
Phone (813) 957-8730

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1801328927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MORGAN ST UNIT 5424",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031400",
            "telephone_number": "813-876-3636",
            "fax_number": "813-870-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3613 S Gunlock Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336297945",
            "country_code": "US",
            "telephone_number": "407-913-5074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIRZADEH",
        "first_name": "SEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "OS16074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS16074",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.