Individual provider Active NPI

Daniela Uebelhart, M.D.

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1851603229
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME116579 Issued in FL
Practice address
630 Pasadena Ave S
St Petersburg, FL 33707-2128
Phone
(727) 360-1784
Fax
(727) 360-1823
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME116579 FL Primary

Addresses

Primary practice location

630 Pasadena Ave S
St Petersburg, FL 33707-2128

Mailing address

630 Pasadena Ave S
St Petersburg, FL 33707-2128
Phone (727) 360-1784

Other identifiers 2

IdentifierTypeStateIssuer
P01330415OtherFLRAILROAD MEDICARE PROVIDER NUMBER
010361200MedicaidFL

Other names 1

  • Dr. Daniela Uebelhart Bresser Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address daniela.uebelhart@direct.mybaycare.org Direct
Direct Messaging Address daniela.uebelhart@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140108000527 FL Practitioner - Internal Medicine 1355579863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

10799 Park Blvd
Seminole, FL 33772-5420
Phone (727) 315-5239

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116579FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Baycare Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Baycare Medical Group Pediatric Walk-in Care LLC Past Accepting new patients
Baycare Medical Group Pediatric Walk-in, LLC Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Bldg 2ND
Clearwater, FL 33759

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2525 Pasadena Ave S
Ste U
South Pasadena, FL 33707
Phone (727) 367-6714

1201 5th Ave N
Ste 408
St Petersburg, FL 33705
Phone (727) 894-3733

630 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-7100

Interoperability endpoints

  • Direct secure messaging: daniela.uebelhart@direct.mybaycare.org

Organizations & group practices 4

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1851603229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PASADENA AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337072128",
            "telephone_number": "727-360-1784",
            "fax_number": "727-360-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PASADENA AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337072128",
            "telephone_number": "727-360-1784",
            "fax_number": "727-360-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UEBELHART",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME116579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P01330415",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010361200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniela.uebelhart@direct.mybaycare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "630 Pasadena Ave S",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337072128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniela.uebelhart@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew Street",
            "address_2": "East Bldg 2nd Floor",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELA",
            "last_name": "BRESSER",
            "middle_name": "UEBELHART",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.