POLMED PA
NPI 1033144290
Internal Medicine in Palm Harbor, FL

Active since July 12, 2006CLIA 10D1039254 · Waiver
3890 TAMPA RD STE 404, PALM HARBOR, FL 34684(727) 216-0505(727) 789-8261 Get Directions Write a Review

NPPES record last updated: January 12, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Polmed Pa NPPES

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

POLMED PA (NPI 1033144290) is a healthcare organization registered as an internal medicine in Palm Harbor, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Robert Kaszuba, President, as its authorized official.

NPPES Registry Identity

NPI1033144290
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePOLMED PA
Location Address3890 TAMPA RD STE 404Palm Harbor, FL 34684-3675
Mailing Address3890 Tampa Rd Ste 404Palm Harbor, FL 34684-3675 · (727) 216-0505 · Fax (727) 789-8261
Fax(727) 789-8261
Organization SubpartNo
Authorized OfficialRobert KaszubaPresident · (727) 216-0505
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 12, 2010
✔ NPI 1033144290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3890 TAMPA RD STE 404, Palm Harbor, FL 34684

Other Identifiers 2

Medicare PINK3518FL
Medicaid274663800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Polmed Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Polmed PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1225593684
1803 BRIAR CREEK BLVD
Safety Harbor, FL 34695
(727) 216-0505
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1841277225
1803 BRIAR CREEK BLVD
Safety Harbor, FL 34695
(727) 216-0505
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1497371173
12347 84TH WAY
Largo, FL 33773
(727) 631-4965
✔ PECOS12 mi
Nurse Practitioner
NPI 1376017087
2142 ASHLEY OAKS CIR
Wesley Chapel, FL 33544
(813) 738-6300
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1861907313
8340 LAKEWOOD RANCH BLVD SUITE 210
Bradenton, FL 34202
(941) 782-2800
✔ PECOS49 mi
Nurse Practitioner
NPI 1821501982
7025 N HIGHWAY 1
Cocoa, FL 32927
(321) 633-3278
✔ PECOS✔ Accepts Medicare119 mi

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 10D1039254

Polmed · Safety Harbor, FL
Active · expires Apr 10, 2027
CLIA Number10D1039254
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorRobert Kaszuba
Laboratory Phone(727) 216-0505
Laboratory LocationPolmed1803 Briar Creek Blvd, Safety Harbor, FL 34695
CLIA data matches this NPI record on: 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 Polmed PA's NPI number?

The NPI number for Polmed PA is 1033144290. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Polmed PA located?

Polmed PA is located at 3890 Tampa Rd Ste 404, Palm Harbor, FL 34684. The listed phone number is (727) 216-0505.

What is Polmed PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Polmed PA enrolled in Medicare?

Yes. Polmed PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Polmed PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Polmed PA. 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. The largest specialties are Nurse Practitioner (5) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Polmed PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1039254) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Polmed PA was last updated on January 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.