Active NPI
Abdur-Rahman Sayed Adly, CRNA
- Certified Registered Nurse Anesthetist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9389635
- Practice address
- 3021 State Road 590
Apt 527
Clearwater, FL 33759-2599 - Phone
- (803) 466-5521
- NPI assigned
- Feb 24, 2014
- Last updated
- Nov 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9389635 | FL | Primary |
| Registered Nurse | 163W00000X | 201618 | SC |
Addresses
Primary practice location
3021 State Road 590
Apt 527
Clearwater, FL 33759-2599
Mailing address
3021 State Road 590
Apt 527
Clearwater, FL 33759-2599
Phone (803) 466-5521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589
5329 Primrose Lake Cir
Tampa, FL 33647-3521
Phone (813) 463-9762
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201618 | SC | MD | Registered Nurse |
| ARNP9389635 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
5329 Primrose Lake Cir
Tampa, FL 33647
Phone (727) 372-4300
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Riverview
- General Acute Care Hospital
- Riverview, FL
- NPI 1699345314
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1992120182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 STATE ROAD 590",
"address_2": "APT 527",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337592599",
"telephone_number": "803-466-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 STATE ROAD 590",
"address_2": "APT 527",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337592599",
"telephone_number": "803-466-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLY",
"first_name": "ABDUR-RAHMAN",
"middle_name": "SAYED",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-24",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9389635",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "201618",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.