PROFESSIONAL HEALTH CARE OF PINELLAS LLC – Internal Medicine Physician, NPI 1881647253
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PROFESSIONAL HEALTH CARE OF PINELLAS LLC
2251 Drew St Ste A
Clearwater, FL 337653306
Phone: (727) 591-9010
Fax: (727) 591-9090
Type: Location
14306 7th Street
Dade City, FL 33523
Phone: (813) 640-0060
Fax: (352) 437-3950
Type: Location
3690 E Bay Dr Ste M
Largo, FL 337711946
Phone: (727) 525-5500
Fax: (727) 821-7213
Type: Location
1301 2nd Ave SW Ste 314
Largo, FL 337703120
Phone: (727) 820-1177
Type: Location
6336 Fort King Rd
Zephyrhills, FL 335422531
Phone: (813) 640-0060
Type: Location
4051 Upper Creek Dr Ste 101
Sun City Center, FL 335736825
Phone: (727) 525-5500
Fax: (727) 821-7213
Type: Location
9210 4th St N
St Petersburg, FL 337023132
Phone: (727) 577-9250
Fax: (727) 821-7213
Type: Location
5880 49th St N Ste 101
St Petersburg, FL 337092142
Phone: (727) 527-8788
Type: Location
8133 54th Ave N
St Petersburg, FL 337091001
Phone: (727) 541-4458
Fax: (727) 821-7213
Type: Location
5500 DR MLK JR ST N
St Petersburg, FL 337031204
Phone: (727) 525-5500
Fax: (727) 821-7213
Type: Location
1955 1st Ave N
St Petersburg, FL 337138941
Phone: (727) 322-2925
Type: Location
6502 Park Blvd N
Pinellas Park, FL 337813142
Phone: (727) 541-5544
Type: Location
10875 Park Blvd Ste A
Seminole, FL 337725456
Phone: (727) 851-9910
Type: Location
Saint Petersburg, Northwestern Federal District, 190000, Russia
ST PETERSBURG, FL 337138900
Phone: (727) 322-1054
Fax: (727) 822-8081
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (39 days ago).
Enrollment records
2
Earliest due date
2026-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040128000732 | O | Clinic/Group Practice | FL | TBD |
| O20131004000451 | O | Physician - General Practice | FL | 2026-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33765)
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