ST. PETERSBURG ENDOSCOPY CENTER LLC NPI 1689682247

NPI Information

NPI: 1689682247
Provider Name: ST. PETERSBURG ENDOSCOPY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 10D1049349
Address: 560 JACKSON STREET NORTH
SUITE 200
ST. PETERSBURG, FL
ZIP 33705
Phone: (727) 820-7500

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NPI Details

ST. PETERSBURG ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in St. Petersburg, FL. ST. PETERSBURG ENDOSCOPY CENTER LLC NPI is 1689682247. The provider is registered as an organization entity type.

The provider's business location address is:

560 JACKSON STREET NORTH
SUITE 200
ST. PETERSBURG, FL
ZIP 33705-449
Phone: (727) 820-7500
Fax: (727) 820-6333

The provider's authorized official is Chetan K Desai .
The authorized official title is President and has the following contact phone number (727) 820-7500.

The CLIA number assigned to this NPI record is 10D1049349 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)

The enumeration date for this NPI number is 8/3/2006 and was last updated on 9/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	1247	FLORIDA	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	14960618	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	076202400	MEDICAID	FLORIDA
2	10C0001468	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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