Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEPHROLOGY CONSULTANTS OF PINELLAS LLC
NPI 1003837337
Internal Medicine - Nephrology in Clearwater, FL

Active since July 22, 2006CLIA 10D2099105 · Waiver
617 LAKEVIEW RD, SUITE C, CLEARWATER, FL 33756(727) 441-3724(727) 442-2594 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nephrology Consultants Of Pinellas Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEPHROLOGY CONSULTANTS OF PINELLAS LLC (NPI 1003837337) is a healthcare organization registered as a nephrology in Clearwater, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Michael William Ham, Owner, as its authorized official.

NPPES Registry Identity

NPI1003837337
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNEPHROLOGY CONSULTANTS OF PINELLAS LLC
Location Address617 LAKEVIEW RD, SUITE CClearwater, FL 33756-3338
Mailing Address617 Lakeview Rd Ste CClearwater, FL 33756-3338 · (727) 441-3724 · Fax (727) 442-2594
Fax(727) 442-2594
Organization SubpartNo
Authorized OfficialMichael William HamOwner · (727) 441-3724
Enumeration DateJuly 22, 2006
Last NPPES UpdateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1003837337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME0034568
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
617 LAKEVIEW RD, Clearwater, FL 33756

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nephrology Consultants Of Pinellas Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20040823000839Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nephrology Consultants Of Pinellas LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1467681973
617 LAKEVIEW RD STE C
Clearwater, FL 33756
(727) 441-3724
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1962421081
617 LAKEVIEW RD SUITE C
Clearwater, FL 33756
(727) 441-3724
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2099105

Nephrology Consultants Of Pinellas · Clearwater, FL
Active · expires Jul 20, 2027
CLIA Number10D2099105
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorMichael W. Ham
Laboratory Phone(727) 441-3724
Laboratory LocationNephrology Consultants Of Pinellas617 Lakeview Rd Ste C, Clearwater, FL 33756
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nephrology Consultants Of Pinellas LLC's NPI number?

The NPI number for Nephrology Consultants Of Pinellas LLC is 1003837337. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Nephrology Consultants Of Pinellas LLC located?

Nephrology Consultants Of Pinellas LLC is located at 617 Lakeview Rd Suite C, Clearwater, FL 33756. The listed phone number is (727) 441-3724.

What is Nephrology Consultants Of Pinellas LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nephrology Consultants Of Pinellas LLC enrolled in Medicare?

Yes. Nephrology Consultants Of Pinellas LLC is registered in the Medicare PECOS enrollment system.

When is Nephrology Consultants Of Pinellas LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nephrology Consultants Of Pinellas LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Nephrology Consultants Of Pinellas LLC, in Nephrology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nephrology Consultants Of Pinellas LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2099105) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nephrology Consultants Of Pinellas LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Molina Healthcare and Wellpoint list Nephrology Consultants Of Pinellas LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nephrology Consultants Of Pinellas LLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.