Individual provider Active NPI

Brian Ida, D.O.

  • Anesthesiology Physician
  • Largo, FL
National Provider Identifier
1811204647
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
UO2457 Issued in FL
Practice address
2025 Indian Rocks Rd
Largo, FL 33774
Phone
(727) 586-7103
Fax
(727) 585-7205
NPI assigned
Aug 31, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X UO2457 FL Primary

Addresses

Primary practice location

2025 Indian Rocks Rd
Largo, FL 33774

Mailing address

2025 Indian Rocks Rd S
Largo, FL 33774-1035
Phone (727) 586-7103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141125000057 IL Practitioner - Anesthesiology 0042532236 Reassigns benefits to 2 organizations
I20160113001211 FL Practitioner - Anesthesiology 0042532236 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
Encore Anesthesia Group LLCGroup PAC ID 3476979683, 35 clinicians

Practice addresses (Care Compare)

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

700 Medical Blvd
Englewood, FL 34223-3964
Phone (941) 475-6571

701 W N Ave
Melrose Park, IL 60160-1612
Phone (708) 681-3200

77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200

Hospital & facility affiliations

  • Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217
  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO2457FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Oct 1, 2015 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Oct 1, 2015 Accepting new patients
Biby Anesthesia LLC Anesthesiology Current Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Aug 25, 2025 Accepting new patients
Ida Rather Be Sleeping Anesthesia LLC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Healthcare Career Services LLC Anesthesiology PastSince Oct 10, 2021 Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

12416 66th St
Ste D
Largo, FL 33773
Phone (727) 408-5310

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

12416 66th St
Largo, FL 33773
Phone (727) 408-5310

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

2438 Martin Luther King St N
Ste C
St Petersburg, FL 33704
Phone (727) 543-9204

2438 Dr Ml King Jr St N
St Petersburg, FL 33704
Phone (727) 565-0740

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

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 3

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1811204647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337741035",
            "telephone_number": "727-586-7103",
            "fax_number": "727-585-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 INDIAN ROCKS RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33774",
            "telephone_number": "727-586-7103",
            "fax_number": "727-585-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDA",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-31",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "UO2457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.