Individual provider Active NPI

Antonio Manalili Bayani, MD

  • Anesthesiology Physician
  • Tampa, FL
National Provider Identifier
1821184615
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME27256 Issued in FL
Practice address
2901 W. Swann Ave.
Tampa, FL 33609
Phone
(913) 754-0467
Fax
(913) 341-5797
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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 ME27256 FL Primary

Addresses

Primary practice location

2901 W. Swann Ave.
Tampa, FL 33609

Mailing address

PO Box 862506
Orlando, FL 32886
Phone (913) 754-0467

Other identifiers 3

IdentifierTypeStateIssuer
036042200MedicaidFL
050076795OtherFLRAILROAD MEDICARE
30503OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME27256FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Anesthesia Services PA Anesthesiology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1821184615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862506",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32886",
            "telephone_number": "913-754-0467",
            "fax_number": "913-341-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W. SWANN AVE.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "913-754-0467",
            "fax_number": "913-341-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYANI",
        "first_name": "ANTONIO",
        "middle_name": "MANALILI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME27256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036042200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050076795",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30503",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.