NPIMap

Organization Active NPI

Citrus Urology Associates P a

  • Urology Physician
  • Homosassa, FL
National Provider Identifier
1821060401
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10D0272423 Issued in FL
Legal business name
CITRUS UROLOGY ASSOCIATES P A
Practice address
3475 S Suncoast Blvd
Homosassa, FL 34448-2322
Phone
(352) 628-7671
Fax
(352) 628-9893
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Dr. Paresh Desai, M.D.
Title
Vice President
Phone
(352) 628-7671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 10D0272423 FL Primary

Addresses

Primary practice location

3475 S Suncoast Blvd
Homosassa, FL 34448-2322

Mailing address

PO Box 3087
Homosassa Springs, FL 34447-3087
Phone (352) 628-7671

Other identifiers 3

IdentifierTypeStateIssuer
CI4845OtherFLRAILROAD MEDICARE
060476301MedicaidFL
98224OtherFLBLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory
Tax ID family
Citrus Urology Associates P a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1821060401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "HOMOSASSA SPRINGS",
            "state": "FL",
            "postal_code": "344473087",
            "telephone_number": "352-628-7671",
            "fax_number": "352-628-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344482322",
            "telephone_number": "352-628-7671",
            "fax_number": "352-628-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS UROLOGY ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "PARESH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-628-7671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "10D0272423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI4845",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060476301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "98224",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homosassa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.