BAYSIDE URGENT CARE CENTER INC.
NPI 1619257755
Clinic/Center - Urgent Care in Clearwater, FL
About Bayside Urgent Care Center Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAYSIDE URGENT CARE CENTER INC. (NPI 1619257755) is a healthcare organization registered as an urgent care in Clearwater, Florida and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Richard Peterkin Wallace, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bayside Urgent Care Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Bayside Urgent Care Center Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 10D2029063
Bayside Urgent Care Center Inc · Clearwater, 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 Bayside Urgent Care Center Inc.'s NPI number?
The NPI number for Bayside Urgent Care Center Inc. is 1619257755. It was assigned to this organization in the NPPES registry on August 21, 2011.
Where is Bayside Urgent Care Center Inc. located?
Bayside Urgent Care Center Inc. is located at 1001 S Fort Harrison Ave Suite 101, Clearwater, FL 33756. The listed phone number is (813) 508-2225.
What is Bayside Urgent Care Center Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Bayside Urgent Care Center Inc. enrolled in Medicare?
Yes. Bayside Urgent Care Center Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bayside Urgent Care Center Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Bayside Urgent Care Center Inc.. 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 Family Practice (4), Nurse Practitioner (1) and Physical Therapist in Private Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bayside Urgent Care Center Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2029063) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bayside Urgent Care Center Inc. accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Bayside Urgent Care Center Inc. 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 Bayside Urgent Care Center Inc. was last updated on August 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Bayside Urgent Care Center Inc. · NPI 1619257755
Urgent Care organization in Clearwater, Florida. Organization record, active in the CMS NPPES registry since August 21, 2011.
## Identity
- **NPI:** 1619257755 (Entity type: Organization)
- **Enumerated:** August 21, 2011
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Richard Wallace, PRESIDENT/CEO
## Practice location
- **Address:** 1001 S FORT HARRISON AVE, SUITE 101, Clearwater, FL 33756-3905
- **Phone:** (813) 508-2225 · **Fax:** (813) 920-4999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Nurse Practitioner (1), Physical Therapist in Private Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2011
- **Other identifiers:** Medicare UPIN H97959 (FL); Medicaid 270183900 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619257755) · Data from the CMS NPPES public registry.