Individual provider Active NPI

Damin Chen, PA-C

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1801647201
Registry record updated Feb 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118450 Issued in FL
Practice address
5747 38TH Ave N
St Petersburg, FL 33710-1925
Phone
(727) 381-8667
Fax
(727) 345-1951
NPI assigned
Apr 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118450 FL Primary

Addresses

Primary practice location

5747 38TH Ave N
St Petersburg, FL 33710-1925

Mailing address

5747 38TH Ave N
St Petersburg, FL 33710-1925
Phone (727) 381-8667

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202001334 FL Practitioner - Physician Assistant 7911432877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Florida College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology Institute LLC 152 clinicians

Practice addresses (Care Compare)

5747 38TH Ave N
St Petersburg, FL 33710-1925
Phone (727) 381-8667

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute, LLC CurrentSince Jan 19, 2026 Accepting new patients
Advanced Urology Institute, LLC CurrentSince Jan 19, 2026 Accepting new patients
Michelle Spuza Milord MD PA PastSince Jul 7, 2024 Accepting new patients
Advanced Urology Institute LLC Past Accepting new patients

Locations

506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554

1401 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 347-3116

5747 38th Ave N
St Petersburg, FL 33710
Phone (727) 381-8667

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida

Organizations & group practices 25

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.

View all 25

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769904000000",
    "number": "1801647201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5747 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101925",
            "telephone_number": "727-381-8667",
            "fax_number": "727-345-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101925",
            "telephone_number": "727-381-8667",
            "fax_number": "727-345-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "DAMIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2026-02-01",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.