Individual provider Active NPI

Michael Rosario-Prieto, MD

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • St Petersburg, FL
National Provider Identifier
1871738948
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
ME120668 Issued in FL
Practice address
1201 5TH Ave N
Suite 202
St Petersburg, FL 33705-1410
Phone
(727) 820-7701
Fax
(727) 820-7700
NPI assigned
Dec 3, 2008
Last updated
Oct 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X ME120668 FL Primary

Addresses

Primary practice location

1201 5TH Ave N
Suite 202
St Petersburg, FL 33705-1410

Mailing address

PO Box 1829
Clearwater, FL 33757-1829
Phone (727) 532-0002

Other identifiers 1

IdentifierTypeStateIssuer
012991700MedicaidFL

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
I20141007000169 FL Practitioner - NeurologyPractitioner - Other (Physician) 6800016254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

1201 5TH Ave N
Suite 402
St Petersburg, FL 33705-1425
Phone (727) 298-6121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120668FLMDNeuromuscular Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Sep 1, 2015 Accepting new patients

Locations

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

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

1201 5th Ave N
Ste 202
St Petersburg, FL 33705
Phone (727) 820-7701

1201 5th Ave N
Ste 402
St Petersburg, FL 33705
Phone (727) 298-6121

900 Carillon Pkwy
Ste 303
St Petersburg, FL 33716
Phone (727) 556-0363

Interoperability endpoints

  • Direct secure messaging: michael.rosario-prieto@direct.mybaycare.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1871738948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1829",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337571829",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "SUITE 202",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051410",
            "telephone_number": "727-820-7701",
            "fax_number": "727-820-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO-PRIETO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME120668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012991700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.