MATURITY MEDICAL OF PINELLAS PROFESSIONAL ASSOCIATION
NPI 1063698744
Internal Medicine in South Pasadena, FL
About Maturity Medical Of Pinellas Professional Association NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATURITY MEDICAL OF PINELLAS PROFESSIONAL ASSOCIATION (NPI 1063698744), doing business as Maturity Medical Of Pinellas, P.a., is a healthcare organization registered as an internal medicine in South Pasadena, Florida and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through May 28, 2028, maintains a secondary practice location in Saint Petersburg, and lists Oswald A Williams, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
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)
Maturity Medical Of Pinellas Professional Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Maturity Medical Of Pinellas Professional Association, which bills Medicare for the services this clinician delivers.
Clinician (1)
South Pasadena, FL 33707
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 10D2078448
Maturity Medical PA · Saint Petersburg, FLFrequently 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 Maturity Medical Of Pinellas Professional Association's NPI number?
The NPI number for Maturity Medical Of Pinellas Professional Association is 1063698744. It was assigned to this organization in the NPPES registry on January 13, 2008. The provider is doing business as Maturity Medical of Pinellas, P.A..
Where is Maturity Medical Of Pinellas Professional Association located?
Maturity Medical Of Pinellas Professional Association is located at 1615 Pasadena Ave S Ste 250, South Pasadena, FL 33707. The listed phone number is (727) 527-6200.
What is Maturity Medical Of Pinellas Professional Association's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Maturity Medical Of Pinellas Professional Association enrolled in Medicare?
Yes. Maturity Medical Of Pinellas Professional Association is registered in the Medicare PECOS enrollment system.
When is Maturity Medical Of Pinellas Professional Association'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 January 31, 2027. 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 Maturity Medical Of Pinellas Professional Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Maturity Medical Of Pinellas Professional Association. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Maturity Medical Of Pinellas Professional Association hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2078448) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Maturity Medical Of Pinellas Professional Association accept?
Health plans from AvMed list Maturity Medical Of Pinellas Professional Association 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 Maturity Medical Of Pinellas Professional Association was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Maturity Medical Of Pinellas Professional Association · NPI 1063698744
Internal Medicine organization in South Pasadena, Florida. Organization record, active in the CMS NPPES registry since January 13, 2008.
## Identity
- **NPI:** 1063698744 (Entity type: Organization)
- **Enumerated:** January 13, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** Maturity Medical of Pinellas, P.A. (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Oswald Williams, MD
## Practice location
- **Address:** 1615 PASADENA AVE S STE 250, South Pasadena, FL 33707-4517
- **Phone:** (727) 527-6200 · **Fax:** (727) 347-0893
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063698744) · Data from the CMS NPPES public registry.