Individual provider Active NPI

Abdur-Rahman Sayed Adly, CRNA

  • Certified Registered Nurse Anesthetist
  • Clearwater, FL
National Provider Identifier
1992120182
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9389635 Issued in FL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150114002249 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234453531 Reassigns benefits to 3 organizations
I20251105004392 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234453531 Reassigns benefits to 1 organization

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
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

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

LicenseStateTypeSpecialty
201618SCMDRegistered Nurse
ARNP9389635FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Nov 4, 2024 Accepting new patients
Musc Community Physicians CurrentSince Oct 7, 2025 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2020 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Musc Community Physicians CurrentSince Oct 7, 2025 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.