BAYSIDE UROLOGY PA
NPI 1720005721
Urology in Clearwater, FL

NPI Status: Active since July 16, 2006

Contact Information

501 S LINCOLN AVE
#11
CLEARWATER, FL
ZIP 33756
Phone: (727) 443-4505
Fax: (727) 441-9879

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  • Organization
  • Urology
  • CLIA Number: 10D2029063
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-30-2025

About BAYSIDE UROLOGY PA

This page provides the complete NPI Profile along with additional information for Bayside Urology Pa, a provider established in Clearwater, Florida operating as a Urology. The healthcare provider is registered in the NPI registry with number 1720005721 assigned on July 2006. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Cesar R Abreu Md (President Physician)

NPI
1720005721
Provider Name
BAYSIDE UROLOGY PA
Entity Type
Organization
Location Address
501 S LINCOLN AVE #11 CLEARWATER, FL 33756
Location Phone
(727) 443-4505
Location Fax
(727) 441-9879
Mailing Address
501 S LINCOLN AVE #11 CLEARWATER, FL 33756
Mailing Phone
(727) 443-4505
Mailing Fax
(727) 441-9879
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2006
Last Update Date
12-01-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CESAR R ABREU MD

Authorized Official Title
PRESIDENT PHYSICIAN
Authorized Official Phone
(727) 443-4505

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
38842MEDICARE ID-TYPE UNSPECIFIED (04) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2029063
Facility Type
Physician Office
Certificate Effective Date
August 31, 2023
Certificate Expiration Date
August 30, 2025
Laboratory Director
RICHARD P. WALLACE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bayside Urology Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720005721
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740001074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 0 + 1 + 0 + 7 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1720005721 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205829934SRA VENTURES INC
Organization
Clinic/Center (Radiology)501 S LINCOLN AVE #15
CLEARWATER, FL 33756
(727) 446-6760
1558358382DR. JERRY ALAN MARGOLIN M.D.
Individual
Otolaryngology (Otolaryngology/Facial Plastic Surgery)501 S LINCOLN AVE SUITE 26
CLEARWATER, FL 33756
(727) 442-2193
1891994836MARGOLIN MD PA
Organization
Otolaryngology501 S LINCOLN AVE SUITE 26
CLEARWATER, FL 33756
(727) 442-2193
1699070425LINCOURT COMPOUNDING CENTER
Organization
Pharmacy (Compounding Pharmacy)501 S LINCOLN AVE SUITE 23
CLEARWATER, FL 33756
(727) 479-3046
1871835280MS. MARY CATHERINE BURKETT RPH
Individual
Pharmacist501 S LINCOLN AVE SUITE 10
CLEARWATER, FL 33756
(727) 479-3048
1508209131 KATHERINE NIELSEN R.PH.
Individual
Pharmacist501 S LINCOLN AVE SUITE 10
CLEARWATER, FL 33756
(727) 479-3048
1750611331RESOLVE PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)501 S LINCOLN AVE STE 10
CLEARWATER, FL 33756
(727) 210-4793
1134234164LINCOURT PHARMACY CORP
Organization
Pharmacy (Community/Retail Pharmacy)501 S LINCOLN AVE STE 10
CLEARWATER, FL 33756
(727) 447-4248

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720005721, enumerated in the NPI registry as an "organization" on July 16, 2006

The provider is located at 501 S Lincoln Ave #11 Clearwater, Fl 33756 and the phone number is (727) 443-4505

This medical organization specializes in Urology with taxonomy code 208800000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D2029063 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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