Individual provider Active NPI

Jason Todd Zelenka, MD

  • Cardiovascular Disease Physician
  • Clearwater, FL
National Provider Identifier
1972592400
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME87775 Issued in FL
Practice address
455 Pinellas St
Suite 400
Clearwater, FL 33756-3354
Phone
(727) 445-1911
Fax
(727) 445-1986
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME87775 FL Primary

Addresses

Primary practice location

455 Pinellas St
Suite 400
Clearwater, FL 33756-3354

Mailing address

455 Pinellas St
Suite 400
Clearwater, FL 33756-3354
Phone (727) 445-1992

Other identifiers 1

IdentifierTypeStateIssuer
266968400MedicaidFL

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
I20041119000651 FL Practitioner - Cardiovascular Disease (Cardiology) 6204891112 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Ekg Interpreters IncGroup PAC ID 4385608066, 37 clinicians

Practice addresses (Care Compare)

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7000

455 Pinellas St
Suite 400
Clearwater, FL 33756-3356
Phone 72744519923222

8839 Bryan Dairy Rd
Suite 300
Largo, FL 33777-1207
Phone (727) 394-1911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87775FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Cardiovascular and Interventional Consultants MD PA Cardiovascular Disease CurrentSince Jul 14, 2003 Accepting new patients
Morton Plant Mease Health Services Inc CurrentSince Aug 23, 2011 Accepting new patients
Morton Plant Mease Health Services, Inc CurrentSince Aug 23, 2011 Accepting new patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Jul 1, 2004 Accepting new patients
Morton Plant Mease Health Services Inc Current Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

455 Pinellas St
Ste 400
Clearwater, FL 33756
Phone (727) 445-1911

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

8839 Bryan Dairy Rd
Ste 300
Largo, FL 33777
Phone (727) 394-1911

3890 Tampa Rd
Palm Harbor, FL 34684
Phone (813) 781-3164

1840 Mease Dr
Ste 202
Safety Harbor, FL 34695
Phone (727) 445-1911

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 5

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1972592400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST",
            "address_2": "SUITE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563354",
            "telephone_number": "727-445-1992",
            "fax_number": "727-445-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST",
            "address_2": "SUITE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563354",
            "telephone_number": "727-445-1911",
            "fax_number": "727-445-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENKA",
        "first_name": "JASON",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME87775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266968400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.